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1955 Us Highway 1 S Suite C-2 St Augustine FL 32086-3708 | |
| (904) 209-6001 | |
| (904) 209-6002 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1955 Us Highway 1 S, St Augustine, Florida |
| Authorized Official Name and Position | Maria Colavito (HEALTH & HUMAN SERVICES DIRECTOR) |
| Authorized Official Contact | 9042096082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1955 Us Highway 1 S Suite C-2 St Augustine FL 32086-3708 Ph: (904) 209-6001 | 1955 Us Highway 1 S Suite C-2 St Augustine FL 32086-3708 Ph: (904) 209-6001 |
| NPI Number | 1538158886 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538158886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Melissa Muller Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 Southpark Cir E, St Augustine, FL 32086 Phone: 904-797-5680 | |
Logan Sincavage, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Old Field Ln, St Augustine, FL 32092 Phone: 561-309-4219 | |
Cornerstone Christian Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 904-439-4400 Fax: 303-484-3943 | |
J Greg Dent M D & Associates P L Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4565 Fax: 904-819-4999 | |