Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southside Counselling Center LLC

Organization Professional Counselor · NPI 1124304167

Southside Counselling Center LLC provides Professional Counselor services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3681 Carol Ann Ln
Jacksonville, FL 32223-7394 Not confirmed with CMS for 14 years — call before visiting
Phone: (904) 316-3365
Fax: (904) 292-2409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence MH8370 (FL)

Record details

NPI number1124304167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmella Gardner — Owner · (904) 316-3365
NPI enumeratedOctober 21, 2011
Last updated in NPPESMarch 14, 2012
Mailing address2950 Halcyon Ln, Jacksonville, FL 32223-6689

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