Prodigal S D Corporation is a Counselor Clinic in Jacksonville, Florida. This organization is also known as sub part of Prodigal S D Corporation. It is located at 9521 Shellie Rd Ste 13, Jacksonville, FL and its contact number is 904-930-4244. The authorized person for Prodigal S D Corporation is Freda Stevens
who is Executive Director of the clinic and his/her contact number is 904-930-4244.
Prodigal S D Corporation Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Prodigal S D Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Prodigal S D Corporation |
| Specialization: | Mental Health Counselor |
| Clinic Address: | 9521 Shellie Rd Ste 13, Jacksonville,
Florida, 32257-6174 |
| Phone: | 904-930-4244 |
| Fax: | 954-256-8140 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Freda Stevens |
| Position: | Executive Director |
| Contact Number: | 904-930-4244 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Prodigal S D Corporation clinic are as mentioned below.
| NPI Number: | 1184153934 |
| Parent Organization: | Prodigal S D Corporation |
| NPI Enumeration Date: | 06 Jun, 2017 |
| NPI Last Update On: | 06 Jun, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prodigal S D Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Addiction (Substance Use Disorder) | | | Primary | |
| Mental Health | | | Secondary | |
| Pastoral | | | Secondary | |
| Professional | | | Secondary | |
| Group Psychotherapy | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Prodigal S D Corporation
9838 Old Baymeadows Rd # 267,
Jacksonville, Florida |
| Zip: | 32256-8101 |
| Phone Number: | 904-930-4244 |
| Fax Number: | 954-256-8140 |
Patients can reach Prodigal S D Corporation at
9521 Shellie Rd Ste 13, Jacksonville, Florida or can
call to book an appointment on 904-930-4244.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.