| Mtb Therapist, Llc | |
|
6034 Chester Ave Jacksonville FL 32217-2264 | |
| (904) 323-2019 | |
| Not Available |
| Full Name | Mtb Therapist, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6034 Chester Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Merland Baker (DIRECTOR) |
| Authorized Official Contact | 9043222162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtb Therapist, Llc 3452 Live Oak Hollow Dr Orange Park FL 32065-2525 Ph: () - | Mtb Therapist, Llc 6034 Chester Ave Jacksonville FL 32217-2264 Ph: (904) 323-2019 |
| NPI Number | 1003314790 |
|---|---|
| Provider Enumeration Date | 01/27/2018 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Medicare PECOS PAC ID | 9638616725 |
|---|---|
| Medicare Enrollment ID | O20240807001829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003314790 | NPI | - | NPPES |
| MH15468 | Other | FL | 261QM0801X - CLINIC/CENTER - MENTAL HEALTH (INCLUDING COMMUNITY MENTAL HEALTH CE |
| Provider Name | Merland Anthony Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568804011 PECOS PAC ID: 0547707630 Enrollment ID: I20240807001985 |
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 | |
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 |