OrganizationActive
Kam Virtual Therapeutic Services Inc
NPI 1205445327 · Clinical Social Worker · Jacksonville, FL
Provider details
- NPI number
- 1205445327
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kelly Minor, President(904) 720-2090
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11266 Lake Mandarin Cir E
Jacksonville, FL 32223-7811
Phone: (904) 705-6130
Street-level locationGet directions
Mailing address
7643 Gate Pkwy Ste 104-941
Jacksonville, FL 32256-2893
Other names (DBA / former)
- Doing business as
- Kam Virtual
- Doing business as
- Kam Virtual
Registry dates
- Enumerated
- 2020-07-24
- Last updated
- 2022-03-16
- Certified
- 2022-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.