MANTHER'S PLACE COUNSELING LLC NPI 1235504978

NPI Information

  • NPI: 1235504978
  • Provider Name: MANTHER'S PLACE COUNSELING LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6108 ARLINGTON RD
    JACKSONVILLE, FL
    ZIP 32211
  • Phone: (904) 743-2327

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NPI Details

MANTHER'S PLACE COUNSELING LLC is a mental health counselor in Jacksonville, FL. MANTHER'S PLACE COUNSELING LLC NPI is 1235504978. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6108 ARLINGTON RD
JACKSONVILLE, FL
ZIP 32211-420
Phone: (904) 743-2327
Fax: (904) 743-2353

The provider's authorized official is Connie E Clark .
The authorized official title is Ceo, Psychotherapist and has the following contact phone number (904) 743-2327.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 12/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)ADC-010509-2015FLORIDANo
2101YM0800XCounselorMental HealthIMH11902FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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