Organization · Type 2 NPI

MTB Therapist, LLC

Professional Counselor · Jacksonville, FL

NPI number 1003314790 Active

Practice location

6034 Chester Ave
Jacksonville, FL 32217-2264

Call (904) 323-2019 Map

Mailing address

3452 Live Oak Hollow Dr
Orange Park, FL 32065-2525

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X15468 (FL)
Addiction (Substance Use Disorder) Counselor 101YA0400X15468 (FL)
Mental Health Counselor 101YM0800X15468 (FL)
Professional Counselor Primary 101YP2500X15468 (FL)

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About NPI 1003314790

MTB Therapist, LLC's National Provider Identifier is 1003314790, issued on Jan 27, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 22, 2025.