| The Southern Institute For Family & Community Preservation, Inc. | |
|
3841 Killearn Ct Suite A Tallahassee FL 32309-3466 | |
| (850) 443-1334 | |
| Not Available |
| Full Name | The Southern Institute For Family & Community Preservation, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3841 Killearn Ct, Tallahassee, Florida |
| Authorized Official Name and Position | D. Amelia B Kemp (CEO/ LICENSED MENTAL HEALTH COUNSEL) |
| Authorized Official Contact | 8504431334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Southern Institute For Family & Community Preservation, Inc. Po Box 13964 Tallahassee FL 32317-3964 Ph: (850) 443-1334 | The Southern Institute For Family & Community Preservation, Inc. 3841 Killearn Ct Suite A Tallahassee FL 32309-3466 Ph: (850) 443-1334 |
| NPI Number | 1073744587 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 07/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073744587 | NPI | - | NPPES |
| Z0480 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH-5565 (Florida) | Primary |
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