Ebtide Counseling Group, Inc - Medicare Mental Health Clinic in Jacksonville, FL

Ebtide Counseling Group, Inc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Jacksonville, Florida. The current practice location for Ebtide Counseling Group, Inc is 3100 University Blvd S Ste 218, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 615-9037. The mailing address for Ebtide Counseling Group, Inc is 3100 University Blvd S Ste 218, Jacksonville, Florida and phone number is (904) 615-9037.

Ebtide Counseling Group, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1144871351. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (904) 615-9037.

Contact Information

Ebtide Counseling Group, Inc
3100 University Blvd S Ste 218
Jacksonville
FL 32216-2727
(904) 615-9037
Not Available

Mental Health Clinic Profile

Full NameEbtide Counseling Group, Inc
SpecialitySocial Worker
Location3100 University Blvd S Ste 218, Jacksonville, Florida
Authorized Official Name and PositionEbony Davis (OWNER)
Authorized Official Contact9046159037
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ebtide Counseling Group, Inc
3100 University Blvd S Ste 218
Jacksonville
FL 32216-2727

Ph: (904) 615-9037
Ebtide Counseling Group, Inc
3100 University Blvd S Ste 218
Jacksonville
FL 32216-2727

Ph: (904) 615-9037

NPI Details:

NPI Number1144871351
Provider Enumeration Date09/28/2019
Last Update Date09/28/2019

Medicare PECOS Information:

Medicare PECOS PAC ID8527497809
Medicare Enrollment IDO20200408000792

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Medical Identifiers

Medical identifiers for Ebtide Counseling Group, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144871351NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ebtide Counseling Group, Inc acts as a billing entity for following providers:
Provider NameEbony R Davis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891293692
PECOS PAC ID: 5294096061
Enrollment ID: I20180719002594

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