OrganizationActive
Family Therapy Associates of Jacksonville LLC
NPI 1295075190 · Community/Behavioral Health Agency · Jacksonville, FL
Provider details
- NPI number
- 1295075190
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tabitha Johnson, Owner/Manager(904) 302-5340
- License
- MT2673 (FL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2950 Halcyon Ln Ste 605
Jacksonville, FL 32223-6692
Phone: (904) 302-5340
Fax: (904) 800-1211
Street-level locationGet directions
Mailing address
2950 Halcyon Ln Ste 605
Jacksonville, FL 32223-6692
Registry dates
- Enumerated
- 2013-03-01
- Last updated
- 2016-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.