| Child Guidance Center, Inc. | |
|
4595 Lexington Ave Jacksonville FL 32210-2058 | |
| (904) 448-4700 | |
| Not Available |
| Full Name | Child Guidance Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4595 Lexington Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Beth Ellen Oberlander (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 9044006739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Guidance Center, Inc. 5776 Saint Augustine Rd Jacksonville FL 32207-8046 Ph: (904) 400-6739 | Child Guidance Center, Inc. 4595 Lexington Ave Jacksonville FL 32210-2058 Ph: (904) 448-4700 |
| NPI Number | 1144898974 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144898974 | NPI | - | NPPES |
| 060404606 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Mark Dearing,lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12412 San Jose Blvd Ste 401, Jacksonville, FL 32223 Phone: 904-348-0343 | |
Twin Dreams Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Old Saint Augustine Rd Apt 402, Jacksonville, FL 32257 Phone: 904-896-0346 | |
Reconnect Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3955 Riverside Ave, Jacksonville, FL 32205 Phone: 904-483-3843 | |
South Rehabilitation Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254 Phone: 904-423-0017 Fax: 904-683-8169 | |
Mtb Therapist, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6034 Chester Ave, Jacksonville, FL 32217 Phone: 904-323-2019 | |
Right Path Behavioral Health Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3890 Dunn Ave Ste 104, Jacksonville, FL 32218 Phone: 904-367-3363 | |
Mc Medical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 Lem Turner Rd Unit 100, Jacksonville, FL 32218 Phone: 904-764-2855 Fax: 904-764-2670 |