| Maxwell Behavioral Health | |
|
120 Wards Ravine Way St Johns FL 32259-9398 | |
| (908) 670-5843 | |
| Not Available |
| Full Name | Maxwell Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 Wards Ravine Way, St Johns, Florida |
| Authorized Official Name and Position | Jason Michael Puchalsky (FOUNDER) |
| Authorized Official Contact | 9086705843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Behavioral Health 400 N Tampa St Ste 1550 Pmb 928871 Tampa FL 33602-4719 Ph: () - | Maxwell Behavioral Health 120 Wards Ravine Way St Johns FL 32259-9398 Ph: (908) 670-5843 |
| NPI Number | 1619865870 |
|---|---|
| Provider Enumeration Date | 06/26/2025 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619865870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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