| Concierge & Vip Counseling Llc | |
|
7235 Bentley Rd Ste 106 Jacksonville FL 32256-7506 | |
| (904) 413-1379 | |
| (904) 677-7886 |
| Full Name | Concierge & Vip Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 7235 Bentley Rd Ste 106, Jacksonville, Florida |
| Authorized Official Name and Position | Barika Grayson (CEO) |
| Authorized Official Contact | 9044131379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge & Vip Counseling Llc 7235 Bentley Rd Ste 106 Jacksonville FL 32256-7506 Ph: (904) 413-1379 | Concierge & Vip Counseling Llc 7235 Bentley Rd Ste 106 Jacksonville FL 32256-7506 Ph: (904) 413-1379 |
| NPI Number | 1043671118 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3971949769 |
|---|---|
| Medicare Enrollment ID | O20240315000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043671118 | NPI | - | NPPES |
| 017012800 | Medicaid | FL | |
| 017381300 | Medicaid | FL |
| Provider Name | Barika Grayson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053579789 PECOS PAC ID: 6406147578 Enrollment ID: I20240315000149 |
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