| Mtb Therapist, Llc | |
|
6034 Chester Ave Jacksonville FL 32217-2264 | |
| (904) 323-2019 | |
| Not Available |
| Full Name | Mtb Therapist, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6034 Chester Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Merland Baker (DIRECTOR) |
| Authorized Official Contact | 9043232019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtb Therapist, Llc 6034 Chester Ave Jacksonville FL 32217-2264 Ph: () - | Mtb Therapist, Llc 6034 Chester Ave Jacksonville FL 32217-2264 Ph: (904) 323-2019 |
| NPI Number | 1003314790 |
|---|---|
| Provider Enumeration Date | 01/27/2018 |
| Last Update Date | 04/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003314790 | NPI | - | NPPES |
| MH15468 | Other | FL | 261QM0801X - CLINIC/CENTER - MENTAL HEALTH (INCLUDING COMMUNITY MENTAL HEALTH CE |
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