| Anchor Life Clinic | |
|
9654 Ragsdale Dr Jacksonville FL 32257-6121 | |
| (904) 891-9365 | |
| Not Available |
| Full Name | Anchor Life Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 9654 Ragsdale Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Melanie Mickey (OWNER) |
| Authorized Official Contact | 9048919365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Life Clinic 9654 Ragsdale Dr Jacksonville FL 32257-6121 Ph: (904) 891-9365 | Anchor Life Clinic 9654 Ragsdale Dr Jacksonville FL 32257-6121 Ph: (904) 891-9365 |
| NPI Number | 1184237182 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Medicare PECOS PAC ID | 2860833084 |
|---|---|
| Medicare Enrollment ID | O20240517003038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184237182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Melanie Mickey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174963144 PECOS PAC ID: 5496196610 Enrollment ID: I20240517003128 |
Mark Dearing,lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12412 San Jose Blvd Ste 401, Jacksonville, FL 32223 Phone: 904-348-0343 | |
Reconnect Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3955 Riverside Ave, Jacksonville, FL 32205 Phone: 904-483-3843 | |
South Rehabilitation Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254 Phone: 904-423-0017 Fax: 904-683-8169 | |
Mtb Therapist, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6034 Chester Ave, Jacksonville, FL 32217 Phone: 904-323-2019 | |
Mc Medical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 Lem Turner Rd Unit 100, Jacksonville, FL 32218 Phone: 904-764-2855 Fax: 904-764-2670 | |
Westland Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6196 Lake Gray Blvd, Jacksonville, FL 32244 Phone: 718-483-5093 | |