Healthcare Provider Details

I. General information

NPI: 1093510422
Provider Name (Legal Business Name): AND THEN THERE IS YOU MENTAL HEALTH GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 PASEO REYES DR
ST AUGUSTINE FL
32095-8462
US

IV. Provider business mailing address

120 EVEREST LN STE 3
ST JOHNS FL
32259-4063
US

V. Phone/Fax

Practice location:
  • Phone: 904-330-1306
  • Fax: 603-386-6002
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH BAUER
Title or Position: OWNER
Credential:
Phone: 732-275-7118