Beaded Star Recovery,llc - Mental Health Clinic in Jacksonville Beach, FL

Beaded Star Recovery,llc is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Jacksonville Beach, Florida. The current practice location for Beaded Star Recovery,llc is 2380 3rd St S, Suite 1, Jacksonville Beach, Florida. For appointments, you can reach them via phone at (904) 241-3113. The mailing address for Beaded Star Recovery,llc is 2380 3rd St S, Suite 1, Jacksonville Beach, Florida and phone number is (904) 241-3113.

Beaded Star Recovery,llc is licensed to practice in Florida (license number ND546) and its NPI number is 1053681205. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (904) 241-3113.

Contact Information

Beaded Star Recovery,llc
2380 3rd St S
Suite 1
Jacksonville Beach
FL 32250-4023
(904) 241-3113
(904) 513-9268

Mental Health Clinic Profile

Full NameBeaded Star Recovery,llc
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location2380 3rd St S, Jacksonville Beach, Florida
Authorized Official Name and PositionMarilyn K Dahl (OWNER)
Authorized Official Contact9042413113
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Beaded Star Recovery,llc
2380 3rd St S
Suite 1
Jacksonville Beach
FL 32250-4023

Ph: (904) 241-3113
Beaded Star Recovery,llc
2380 3rd St S
Suite 1
Jacksonville Beach
FL 32250-4023

Ph: (904) 241-3113

NPI Details:

NPI Number1053681205
Provider Enumeration Date01/05/2012
Last Update Date08/07/2015

Medical Identifiers

Medical identifiers for Beaded Star Recovery,llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053681205NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH8334 (Florida)Secondary
133V00000XDietitian, Registered ND546 (Florida)Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) ND546 (Florida)Primary

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