Prodigal Kids – Addiction (Substance Use Disorder) Counselor, NPI 1184153934
Addiction (Substance Use Disorder) Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Prodigal Kids
9838 OLD BAYMEADOWS RD # 267
JACKSONVILLE, FL 322568101
Phone: (904) 930-4244
Fax: (954) 256-8140
Type: Mailing
Shellie Road, Jacksonville, Duval County, Florida, 32257, United States
JACKSONVILLE, FL 322576174
Phone: (904) 930-4244
Fax: (954) 256-8140
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32256)
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