Src
Community/Behavioral Health • Jacksonville, FL
About Src NPI 1841686433 Summary
Src is a verified healthcare organization specializing in Community/Behavioral Health operating in Jacksonville, FL. Located at 580 ELLIS RD S, this facility provides patient care and medical services under National Provider Identifier (NPI) 1841686433.
Administrative operations and authorized compliance are overseen by Tanya Lake-Smith (Mental Health Counselor).
The facility is associated with 6 linked healthcare practitioners providing clinical services.
Facility Location & Contact Primary Location
580 Ellis Rd S
Jacksonville, FL 322543582
Authorized Official Information
Tanya Lake-Smith
Mental Health Counselor
6788863984
Facility Classifications & Specialties
NUCC Taxonomy Code: 251S00000X
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Affiliated Practitioners & Clinicians
Healthcare professionals and specialists practicing at this facility or affiliated group locations
Counselor - Addiction (Substance Use Disorder)
Jacksonville, FL
Facility & Registry History Timeline
Chronological log of verified NPI organization updates, branch relocations, and registry updates
NPI status registered as active in NPPES database
Registered at 580 ELLIS RD S, JACKSONVILLE, FL 322543582 (Tel: 6788863984)
Registered at 11993 ALEXANDRA DR, JACKSONVILLE, FL 322188880 (Tel: 6788863984)
Operating as SRC
Community/Behavioral Health
First registered as active Healthcare Organization in NPPES Database.
Patient & Community Reviews
Verified patient ratings, healthcare experiences, and facility photos
NPI Organization Metadata
Mailing Address
11993 Alexandra Dr
Jacksonville, FL 322188880
Phone: 6788863984
Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.