MEDICARE: MR. JONATHAN W MAY LMHC

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	101YM0800X	Mental Health Counselor	MT0001836	FL

General Provider Information

NPI Number	:	1811922933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN W MAY LMHC

Provider Business Mailing Address
First Line	:	PO BOX 44230
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4230
Country	:	US
Telephone Number	:	904-376-3800
Fax Number	:	904-376-3998

Provider Business Practice Location Address
First Line	:	900 BEACH BLVD
Second Line	:	SUITE 930
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-4368
Country	:	US
Telephone Number	:	904-376-3800
Fax Number	:	904-396-8968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	12/30/2016

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