| Manther's Place Counseling Llc | |
|
6108 Arlington Rd Jacksonville FL 32211-5420 | |
| (904) 743-2327 | |
| (904) 743-2353 |
| Full Name | Manther's Place Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6108 Arlington Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Connie E Clark (CEO, PSYCHOTHERAPIST) |
| Authorized Official Contact | 9047432327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manther's Place Counseling Llc 6108 Arlington Rd Jacksonville FL 32211-5420 Ph: (904) 743-2327 | Manther's Place Counseling Llc 6108 Arlington Rd Jacksonville FL 32211-5420 Ph: (904) 743-2327 |
| NPI Number | 1235504978 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235504978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ADC-010509-2015 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | IMH11902 (Florida) | Primary |
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