Organization
MENTAL HEALTH JAX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M GHEE LMHC (OWNER)
(904) 860-8749
Entity
Organization
Contact information
Practice address
8825 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-1108
(904) 860-8749
Mailing address
16927 ETHEL RD, JACKSONVILLE, FL 32218-1107
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MH5145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639203722
—
FL
Enumeration date
09/29/2017
Last updated
09/29/2017
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