| My Journey, Llc | |
|
13453 N Main St Ste 204 Jacksonville FL 32218-2773 | |
| (718) 916-5421 | |
| Not Available |
| Full Name | My Journey, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 13453 N Main St Ste 204, Jacksonville, Florida |
| Authorized Official Name and Position | O'neil Richards (OWNER) |
| Authorized Official Contact | 7189165421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Journey, Llc 8420 Country Bend Cir E Jacksonville FL 32244-7416 Ph: (718) 916-5421 | My Journey, Llc 13453 N Main St Ste 204 Jacksonville FL 32218-2773 Ph: (718) 916-5421 |
| NPI Number | 1629676093 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/26/2020 |
| Certification Date | 10/26/2020 |
| Medicare PECOS PAC ID | 2264846823 |
|---|---|
| Medicare Enrollment ID | O20210122002021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629676093 | NPI | - | NPPES |
| 020326900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | O'neil Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578952271 PECOS PAC ID: 9931418233 Enrollment ID: I20161229000601 |
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 | |
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 | |
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 | |
Westland Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6196 Lake Gray Blvd, Jacksonville, FL 32244 Phone: 718-483-5093 | |