| Mandarin Christian Counseling Center | |
|
2950 Halcyon Ln Ste 204 Jacksonville FL 32223-6690 | |
| (904) 262-1900 | |
| (904) 262-1905 |
| Full Name | Mandarin Christian Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 2950 Halcyon Ln Ste 204, Jacksonville, Florida |
| Authorized Official Name and Position | Peggi Sanborn Wegener (PRESIDENT) |
| Authorized Official Contact | 9042621900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandarin Christian Counseling Center 2950 Halcyon Ln Ste 204 Jacksonville FL 32223-6690 Ph: (904) 262-1900 | Mandarin Christian Counseling Center 2950 Halcyon Ln Ste 204 Jacksonville FL 32223-6690 Ph: (904) 262-1900 |
| NPI Number | 1013170844 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 9436509429 |
|---|---|
| Medicare Enrollment ID | O20240103002946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013170844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH0003102 (Florida) | Primary |
| Provider Name | Peggi Sanborn Wegener |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407110752 PECOS PAC ID: 4981054970 Enrollment ID: I20240103003104 |
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