Provider Demographics
NPI:1376380485
Name:DBT SOLUTIONS OF NORTH FLORIDA LLC
Entity type:Organization
Organization Name:DBT SOLUTIONS OF NORTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-269-7200
Mailing Address - Street 1:1409 KINGSLEY AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4553
Mailing Address - Country:US
Mailing Address - Phone:904-269-7200
Mailing Address - Fax:866-673-1423
Practice Address - Street 1:1409 KINGSLEY AVE STE 8
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4553
Practice Address - Country:US
Practice Address - Phone:904-269-7200
Practice Address - Fax:866-673-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)