| Melcolm Mental Health Services, Pllc | |
|
4110 Osceola Trl Middleburg FL 32068-7149 | |
| (904) 502-9883 | |
| Not Available |
| Full Name | Melcolm Mental Health Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4110 Osceola Trl, Middleburg, Florida |
| Authorized Official Name and Position | Tabatha Melcolm (OWNER) |
| Authorized Official Contact | 9045029883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melcolm Mental Health Services, Pllc 4110 Osceola Trl Middleburg FL 32068-7149 Ph: (904) 502-9883 | Melcolm Mental Health Services, Pllc 4110 Osceola Trl Middleburg FL 32068-7149 Ph: (904) 502-9883 |
| NPI Number | 1396509865 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 6406293422 |
|---|---|
| Medicare Enrollment ID | O20240326000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396509865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tabatha Melcolm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063922276 PECOS PAC ID: 7214374230 Enrollment ID: I20240326001102 |
Great Strides Rehabilitation Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 College Dr Ste 107, Middleburg, FL 32068 Phone: 904-886-3228 Fax: 904-404-7743 | |
Clay Behavioral Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5571 | |
Clay Behavioral Health Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 | |
Clay Community Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2497 County Road 220, Middleburg, FL 32068 Phone: 904-801-5800 | |
Transitions Behavior Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4194 Sandhill Crane Ter, Middleburg, FL 32068 Phone: 904-738-4148 | |
Pca Plus Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 419-a College Dr., Suite 6, Middleburg, FL 32068 Phone: 904-272-5096 Fax: 904-272-5097 |