Provider Demographics
NPI:1699459693
Name:ENRICH COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:ENRICH COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:813-966-3030
Mailing Address - Street 1:6001 ARGYLE FOREST BLVD STE 21
Mailing Address - Street 2:#231
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-6127
Mailing Address - Country:US
Mailing Address - Phone:813-966-3030
Mailing Address - Fax:
Practice Address - Street 1:5900 TOWNSEND RD APT 125
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-4564
Practice Address - Country:US
Practice Address - Phone:813-966-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty