Organization · Type 2 NPI

Marlyn Enterprises of Jacksonville, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, FL

NPI number 1154430197 Active

Practice location

11265 Alumni Way
Jacksonville, FL 32246-6685

Call (904) 398-2020 Map

Fax (904) 724-2172

Other practice locations

941510 Old Nassauville Rd, Fernandina Beach, FL 32034-7136 · (904) 398-2020

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1154430197
Entity type: Organization (Type 2)
Issued: Aug 30, 2006
Last updated: Sep 16, 2021
Status: Active

Other names

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Quality Life Center of Jacksonville · doing business as
Quality Life Center of Jacksonville · doing business as

Authorized official

Mr. Mark A Ulerie
Executive Director
(904) 398-2020

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154430197

Marlyn Enterprises of Jacksonville, Inc.'s National Provider Identifier is 1154430197, issued on Aug 30, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 16, 2021.