Provider Demographics
NPI:1598295701
Name:NORTH FLORIDA LEARNING & BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:NORTH FLORIDA LEARNING & BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST, DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WINNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:904-250-0088
Mailing Address - Street 1:8825 PERIMETER PARK BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1112
Mailing Address - Country:US
Mailing Address - Phone:904-250-0088
Mailing Address - Fax:866-298-4143
Practice Address - Street 1:8825 PERIMETER PARK BLVD STE 302
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1112
Practice Address - Country:US
Practice Address - Phone:904-250-0088
Practice Address - Fax:866-298-4143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8075261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)