Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FIRST COAST FAMILY COUNSELING, INC.
Active
Organization
FIRST COAST FAMILY COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G. MCCLENDON LMHC-MA (PRESIDENT)
(904) 567-6100
Entity
Organization
Contact information
Practice address
1718 KINGSLEY AVE STE 21, ORANGE PARK, FL 32073
(904) 567-6100
(904) 602-8055
Mailing address
PO BOX 9445, FLEMMING ISLAND, FL 32006
(904) 567-6100
(904) 602-8055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767279900
—
FL
Enumeration date
12/26/2006
Last updated
11/09/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up