MEDICARE: MY PATH MENTAL HEALTH CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1316206725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY PATH MENTAL HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	822 A1A N
Second Line	:	SUITE 310
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-3260
Country	:	US
Telephone Number	:	404-784-7005
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 A1A N
Second Line	:	SUITE 310
City	:	JACKSONVILLE
State	:	FL
Zip	:	32082-3260
Country	:	US
Telephone Number	:	404-784-7005
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. KAREN H00
Credential	:
Telephone Number	:	404-784-7005

Provider Enumeration Date	:	05/07/2012
Last Update Date	:	05/15/2012

Similar Medicare Providers

1669473120 — DR. ROBERT TIMOTHY RADEL D.M.D., M.S.
Practice Location Address:

822 A1A N , SUITE 314
PONTE VEDRA BEACH, FL
32082-3260

Practice Phone: 904-273-5770
Practice Fax: 904-273-5720

1235162330 — DR. JOSEPH CHARLES MAVEC D.D.S., M.S.
Practice Location Address:

822 A1A N , SUITE 314
PONTE VEDRA BEACH, FL
32082-3260

Practice Phone: 904-273-5770
Practice Fax: 904-273-5720

1124403472 — MIA GROUP
Practice Location Address:

822 A1A N
PONTE VEDRA, FL
32082-3260

Practice Phone: 425-606-5304
Practice Fax:

1154437184 — DR. LINDA LOUISE ALEXANDER DPM
Practice Location Address:

1361 13TH AVE S STE 120
JACKSONVILLE BEACH, FL
32250-3260

Practice Phone: 904-241-2655
Practice Fax: 904-249-2425

1639360258 — BEACHES FACIAL AND NASAL SURGERY CENTER
Practice Location Address:

1361 13TH AVE S STE 125
JACKSONVILLE BEACH, FL
32250-3260

Practice Phone: 904-249-2580
Practice Fax:

1578942983 — MS. DEBRA WILLIAMS M.S. CCC/SLP
Practice Location Address:

3710 CATTAIL DR S
JACKSONVILLE, FL
32223-3260

Practice Phone: 904-612-1072
Practice Fax:

Directions to “MY PATH MENTAL HEALTH CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.