First Coast Family Counseling, Inc.

LBN: First Coast Family Counseling, Inc.
First Coast Family Counseling, Inc. is an health care organization with primary practice located at 1718 Kingsley Ave Ste 21 , Orange Park FL 32073. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. First Coast Family Counseling, Inc. can be contacted via phone (904) 567-6100, or through Mcclendon, Michael G. via phone (904) 567-6100.

Contact Information

Primary practice address
1718 Kingsley Ave Ste 21 Orange Park FL 32073
Phone: (904) 567-6100
Fax: (904) 602-8055
Website:
Map and Directions
Authorized official contact:
Name: Mcclendon, Michael G. LMHC-MA
Phone: (904) 567-6100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5472 Florida

Profile Details

NPI number 1619032166
LBN Legal business name First Coast Family Counseling, Inc.
DBA Doing business as
Authorized official Mcclendon, Michael G. LMHC-MA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Nov 9th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619032166 NPPES
Florida MEDICAID 767279900

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