Kalena Smith-Fulwiley, Llc

LBN: Kalena Smith-Fulwiley, Llc
Kalena Smith-Fulwiley, Llc is an health care organization with primary practice located at 422 New Berlin Rd , Jacksonville FL 32218-3827. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Kalena Smith-Fulwiley, Llc can be contacted via phone (904) 269-0886, or through Smith-Fulwiley, Kalena via phone (904) 476-9064.

Contact Information

Primary practice address
422 New Berlin Rd Jacksonville FL 32218-3827
Phone: (904) 269-0886
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith-Fulwiley, Kalena LMHC
Phone: (904) 476-9064

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH12125 Florida
Agencies / Community/Behavioral Health 251S00000X MH12125 Florida

Profile Details

NPI number 1538608112
LBN Legal business name Kalena Smith-Fulwiley, Llc
DBA Doing business as
Authorized official Smith-Fulwiley, Kalena LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2017
Last updated Feb 16th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538608112 NPPES
Florida MEDICAID 010404400

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