| Jack Mathew Davis, IMH | |
|
820 Prudential Dr Ste 510, Jacksonville, FL 32207-8207 | |
| (904) 376-3800 | |
| (904) 390-7398 |
| Full Name | Jack Mathew Davis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 820 Prudential Dr Ste 510, Jacksonville, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255197356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH24995 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Mathew Davis, IMH Po Box 748519, Atlanta, GA 30374-8519 Ph: (904) 376-3800 | Jack Mathew Davis, IMH 820 Prudential Dr Ste 510, Jacksonville, FL 32207-8207 Ph: (904) 376-3800 |
Mrs. Gloria Hanania, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 Park St, Jacksonville, FL 32204 Phone: 904-899-6300 | |
Ms. Clare Denise Benjamin, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060 | |
Yvette Culver-owens, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy, Suite 1304, Jacksonville, FL 32216 Phone: 904-505-3983 Fax: 904-725-9833 | |
Dawn S. Liphart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11265 Alumni Way, Jacksonville, FL 32246 Phone: 904-398-2020 Fax: 904-724-2172 | |
Stanvonna Shootes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664 | |
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594 | |
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017 |