| River Region Human Services Inc | |
|
3901 Carmichael Ave Jacksonville FL 32207-2325 | |
| (904) 899-6300 | |
| Not Available |
| Full Name | River Region Human Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3901 Carmichael Ave, Jacksonville, Florida |
| Authorized Official Name and Position | John Distefano (CLINICAL CONSULTANT) |
| Authorized Official Contact | 3523173214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Region Human Services Inc 3901 Carmichael Ave Jacksonville FL 32207-2325 Ph: (904) 899-6300 | River Region Human Services Inc 3901 Carmichael Ave Jacksonville FL 32207-2325 Ph: (904) 899-6300 |
| NPI Number | 1568507853 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Medicare PECOS PAC ID | 0244397701 |
|---|---|
| Medicare Enrollment ID | O20090327000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568507853 | NPI | - | NPPES |
| 060605700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
| Provider Name | Carlos Torrellas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245394832 PECOS PAC ID: 7810881992 Enrollment ID: I20040210000671 |
| Provider Name | Pablo M Pella |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245347004 PECOS PAC ID: 2668453671 Enrollment ID: I20101019000130 |
| Provider Name | Sarah Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669013595 PECOS PAC ID: 4981936374 Enrollment ID: I20191105001187 |
| Provider Name | Sharnice White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780295667 PECOS PAC ID: 4284045402 Enrollment ID: I20201119001149 |
| Provider Name | Lashena Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427688597 PECOS PAC ID: 9830557560 Enrollment ID: I20230627003574 |
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 | |