| Mandarin Counseling Inc | |
|
12058 San Jose Blvd Ste 703 Jacksonville FL 32223-8666 | |
| (904) 260-0454 | |
| (904) 260-0044 |
| Full Name | Mandarin Counseling Inc |
|---|---|
| Speciality | Social Worker |
| Location | 12058 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Lynda R Mance (OWNER) |
| Authorized Official Contact | 9042600454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandarin Counseling Inc 12058 San Jose Blvd Ste 703 Jacksonville FL 32223 Ph: (904) 260-0454 | Mandarin Counseling Inc 12058 San Jose Blvd Ste 703 Jacksonville FL 32223-8666 Ph: (904) 260-0454 |
| NPI Number | 1811187271 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 09/16/2008 |
| Medicare PECOS PAC ID | 0143397281 |
|---|---|
| Medicare Enrollment ID | O20080916000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811187271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6689 (Florida) | Primary |
| Provider Name | Lynda R Mance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730182940 PECOS PAC ID: 9537132873 Enrollment ID: I20040816000925 |
| Provider Name | Sonia S Vockell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669661278 PECOS PAC ID: 8224109889 Enrollment ID: I20080625000481 |
| Provider Name | Tanya Roxanne Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609162809 PECOS PAC ID: 7517276876 Enrollment ID: I20151027003324 |
| Provider Name | Nancy Melcolm King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386768729 PECOS PAC ID: 0648576504 Enrollment ID: I20160422000636 |
| Provider Name | Tia Loray March |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942340401 PECOS PAC ID: 1557606761 Enrollment ID: I20181217001380 |
| Provider Name | Benjamin Kyle Hancock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992332373 PECOS PAC ID: 0840610564 Enrollment ID: I20201020000105 |
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