| Resurgence Mental Health Llc | |
|
117 Bartram Parke Dr Saint Johns FL 32259-4276 | |
| (904) 504-4566 | |
| Not Available |
| Full Name | Resurgence Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 117 Bartram Parke Dr, Saint Johns, Florida |
| Authorized Official Name and Position | Ethan M Sincoff (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9045044566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurgence Mental Health Llc 117 Bartram Parke Dr Saint Johns FL 32259-4276 Ph: (904) 504-4566 | Resurgence Mental Health Llc 117 Bartram Parke Dr Saint Johns FL 32259-4276 Ph: (904) 504-4566 |
| NPI Number | 1184414773 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184414773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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