MANTHERS PLACE COUNSELING NPI 1518406107

NPI Information

NPI: 1518406107
Provider Name: MANTHERS PLACE COUNSELING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6108 ARLINGTON RD
JACKSONVILLE, FL
ZIP 32211
Phone: (904) 743-2353
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MANTHERS PLACE COUNSELING is a mental health counselor in Jacksonville, FL. MANTHERS PLACE COUNSELING NPI is 1518406107. 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) 743-2353

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

The enumeration date for this NPI number is 2/16/2017 and was last updated on 2/16/2017.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MH14118	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH14118	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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