Mtb Therapist, Llc
LBN: Mtb Therapist, Llc
Mtb Therapist, Llc is an health care organization with primary practice located at 6034 Chester Ave , Jacksonville FL 32217-2264. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Mtb Therapist, Llc can be contacted via phone (904) 323-2019, or through Baker, Merland via phone (904) 322-2162.
Contact Information
Primary practice address
6034 Chester Ave
Jacksonville FL 32217-2264
Phone: (904) 323-2019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 15468 | Florida |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15468 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 15468 | Florida |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 15468 | Florida |
Profile Details
| NPI number | 1003314790 |
|---|---|
| LBN Legal business name | Mtb Therapist, Llc |
| DBA Doing business as | |
| Authorized official | Baker, Merland LMHC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 27th, 2018 |
| Last updated | Apr 22nd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003314790 | NPPES |
| Florida | Other | MH15468 | 261QM0801X - CLINIC/CENTER - MENTAL HEALTH (INCLUDING COMMUNITY MENTAL HEALTH CE |
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