Florida Mentor - Mental Health Clinic in Jacksonville, FL

Florida Mentor is a mental health clinic (Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities) in Jacksonville, Florida. The current practice location for Florida Mentor is 4550 Ricker Rd, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 778-0935. The mailing address for Florida Mentor is 313 Congress St, Boston, Massachusetts and phone number is (800) 388-5150.

Florida Mentor is licensed to practice in Florida (license number 4060096) and its NPI number is 1013093616. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (904) 778-0935.

Contact Information

Florida Mentor
4550 Ricker Rd
Jacksonville
FL 32210-6308
(904) 778-0935
(904) 778-8396

Mental Health Clinic Profile

Full NameFlorida Mentor
SpecialityCommunity Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Location4550 Ricker Rd, Jacksonville, Florida
Authorized Official Name and PositionBrett Ian Cohen (COO)
Authorized Official Contact8003885150
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Florida Mentor
313 Congress St
Boston
MA 02210-1218

Ph: (800) 388-5150
Florida Mentor
4550 Ricker Rd
Jacksonville
FL 32210-6308

Ph: (904) 778-0935

NPI Details:

NPI Number1013093616
Provider Enumeration Date10/27/2006
Last Update Date03/04/2023
Certification Date03/04/2023

Medical Identifiers

Medical identifiers for Florida Mentor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013093616NPI-NPPES
018500800MedicaidFL
031258400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103K00000XBehavior Analyst (* (Not Available))Secondary
320900000XCommunity Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities 4060096 (Florida)Primary

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Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

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