Mtb Therapist, Llc

LBN: Mtb Therapist, Llc
Mtb Therapist, Llc is an health care organization with primary practice located at 6034 Chester Ave , Jacksonville FL 32217-2264. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Mtb Therapist, Llc can be contacted via phone (904) 323-2019, or through Baker, Merland via phone (904) 323-2019.

Contact Information

Primary practice address
6034 Chester Ave Jacksonville FL 32217-2264
Phone: (904) 323-2019
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baker, Merland LMHC
Phone: (904) 323-2019

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 15468 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15468 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 15468 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 15468 Florida

Profile Details

NPI number 1003314790
LBN Legal business name Mtb Therapist, Llc
DBA Doing business as
Authorized official Baker, Merland LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2018
Last updated Apr 5th, 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 1003314790 NPPES
Florida Other MH15468 261QM0801X - CLINIC/CENTER - MENTAL HEALTH (INCLUDING COMMUNITY MENTAL HEALTH CE

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