BETH A. WOMBOUGH, MS, LMHC, PA
Mental Health at Bartram Park Blvd, Jacksonville, FL

License number
Florida MH6748
Category
Mental Health
Type
Mental Health
Owner
Name: MS. BETH ANN WOMBOUGH MEDINA LMHC
Title: OWNER
Phone: (904) 363-6999
Address
Address
13241 Bartram Park Blvd STE. 301, Jacksonville, FL 32258
National Provider ID: 1033520481
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BETH A. WOMBOUGH, MS, LMHC, PA at bizstanding.com

BETH A. WOMBOUGH, MS, LMHC, PA

Jacksonville, FL

Industry:
Psychiatric Hospital
Registration:
Jan 7, 2008
Addresses:
13241 Bartram Park Blvd SUITE 301, Jacksonville, FL 32258 (Physical)
10175 Fortune Pkwy, Jacksonville, FL 32256
State ID:
P08000008648
Business type:
Florida Profit Corporation
Secretarys:
Beth A Medina (Secretary), 13241 Bartram Park Blvd, Jacksonville, FL 32258 (Physical),Beth A. Wombough Secretary, inactive
Agent:
Beth Medina,13241 Bartram Park Blvd SUITE 301, Jacksonville, FL 32258 (Physical)
EIN:
900342843

Mental Health licenses in Florida










Other Doctors licenses in Florida