Mr David Leroy Hackney, LMHC - Counselor in Saint Augustine, FL

Mr David Leroy Hackney, LMHC is a Counselor - Mental Health based in Saint Augustine, Florida. Mr David Leroy Hackney is licensed to practice in Florida (license number MH22) and his current practice location is 1100 S Ponce De Leon Blvd Ste 1, Saint Augustine, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 824-7733.

NPI number for Mr David Leroy Hackney is 1407946726 and his current mailing address is 1100 S Ponce De Leon Blvd Ste 1, Saint Augustine, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407946726.

Contact Information

Mr David Leroy Hackney, LMHC
1100 S Ponce De Leon Blvd Ste 1,
Saint Augustine, FL 32084-6013
(904) 824-7733
(904) 829-9768

Map and Direction


Healthcare Provider's Profile

Full NameMr David Leroy Hackney
GenderMale
SpecialityCounselor - Mental Health
Location1100 S Ponce De Leon Blvd Ste 1, Saint Augustine, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407946726
  • Provider Enumeration Date: 10/15/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr David Leroy Hackney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407946726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH22 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Leroy Hackney is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr David Leroy Hackney, LMHC
1100 S Ponce De Leon Blvd Ste 1,
Saint Augustine, FL 32084-6013

Ph: (904) 824-7733
Mr David Leroy Hackney, LMHC
1100 S Ponce De Leon Blvd Ste 1,
Saint Augustine, FL 32084-6013

Ph: (904) 824-7733

Reviews and Comments


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