| Mr Robert C Mcqueen Jr, LMHC | |
|
4711 Hwy 17s., Ste. C-4, Orange Park, FL 32003 | |
| (904) 651-3237 | |
| (904) 217-8623 |
| Full Name | Mr Robert C Mcqueen Jr |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 33 Years |
| Location | 4711 Hwy 17s., Orange Park, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174671861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1808 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH-4271 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 1045 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert C Mcqueen Jr, LMHC 7985 Colee Cove Rd, St Augustine, FL 32092-2306 Ph: (904) 651-3237 | Mr Robert C Mcqueen Jr, LMHC 4711 Hwy 17s., Ste. C-4, Orange Park, FL 32003 Ph: (904) 651-3237 |
Nicole Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2864 Moody Ave, Orange Park, FL 32073 Phone: 352-478-8273 Fax: 352-478-8088 |
Annie Sea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 College Dr, Orange Park, FL 32065 Phone: 904-602-9802 Fax: 904-621-5113 |
Margaret Mary Ensell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2813 Birchwood Dr, Orange Park, FL 32073 Phone: 904-610-0414 |
Savannah Elizabeth Lockwood, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 College Dr, Orange Park, FL 32065 Phone: 904-602-9802 Fax: 904-621-5113 |
Mrs. Sandra Ann Currie, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1743 County Road 220, Orange Park, FL 32003 Phone: 904-269-6907 Fax: 904-215-2036 |
Alexandra Richetti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-375-8388 |
Ms. Ursula Stein, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2105 Park Ave, Suite 11, Orange Park, FL 32073 Phone: 904-215-5331 Fax: 904-215-5331 |