| Mr And Ms Mentoring Inc | |
|
1617 Ridgewood Ave Ste B Holly Hill FL 32117-1750 | |
| (386) 999-0333 | |
| Not Available |
| Full Name | Mr And Ms Mentoring Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1617 Ridgewood Ave Ste B, Holly Hill, Florida |
| Authorized Official Name and Position | Derrick Tariq Collins El (OWNER) |
| Authorized Official Contact | 3862629852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mr And Ms Mentoring Inc 19 Starling Dr Daytona Beach FL 32117-1886 Ph: (386) 262-9852 | Mr And Ms Mentoring Inc 1617 Ridgewood Ave Ste B Holly Hill FL 32117-1750 Ph: (386) 999-0333 |
| NPI Number | 1053057935 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053057935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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