RIVER CITY MENTAL HEALTH COUNSELING LLC NPI 1518513506

NPI Information

NPI: 1518513506
Provider Name: RIVER CITY MENTAL HEALTH COUNSELING, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4711 US HIGHWAY 17 STE 4
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 465-1275
Get Directions

RIVER CITY MENTAL HEALTH COUNSELING, LLC is a mental health (including community mental health center) clinic center in Fleming Island, FL. RIVER CITY MENTAL HEALTH COUNSELING, LLC NPI is 1518513506. The provider is registered as an organization entity type.

The provider's business location address is:

4711 US HIGHWAY 17 STE 4
FLEMING ISLAND, FL
ZIP 32003-211
Phone: (904) 465-1275
Fax: (904) 485-8359

The provider's authorized official is Michael Brent Wade .
The authorized official title is Owner and has the following contact phone number (904) 465-1275.

The enumeration date for this NPI number is 8/15/2019 and was last updated on 8/15/2019.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	007650300	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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