Mental Health Center Of Jacksonville, Inc.

LBN: Mental Health Center Of Jacksonville, Inc.
Mental Health Center Of Jacksonville, Inc. is an health care organization with primary practice located at 3333 W 20Th St , Jacksonville FL 32254-1703. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Community Health, Hospitals / Psychiatric Hospital. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Mental Health Center Of Jacksonville, Inc. can be contacted via phone (904) 695-9145, or through Sommers, Robert via phone (904) 743-1883.

Contact Information

Primary practice address
3333 W 20Th St Jacksonville FL 32254-1703
Phone: (904) 695-9145
Fax: (904) 695-2465
Website:
Map and Directions
Authorized official contact:
Name: Sommers, Robert PH.D.
Phone: (904) 743-1883

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1366558132
LBN Legal business name Mental Health Center Of Jacksonville, Inc.
DBA Doing business as
Authorized official Sommers, Robert PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Jan 26th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366558132 NPPES
Florida MEDICAID 060366002
Florida MEDICAID 060366000

Popular Providers