MARLYN ENTERPRISES OF JACKSONVILLE (NPI# 1154430197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154430197 |
| Entity Type | Organization |
| Organization Name | MARLYN ENTERPRISES OF JACKSONVILLE |
| Other Organization Name | QUALITY LIFE CENTER OF JACKSONVILLE |
| Practice Address |
11265 Alumni Way Jacksonville FL 32246-6685 |
| Practice Telephone | 9043982020 |
| Practice Fax Number | 9047242172 |
| Mailing Telephone | 9043982020 |
| Mailing Fax Number | 9047242172 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | MR. MARK A ULERIE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9043982020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 678170596 | 05 |
| Other Name | Type Code |
|---|---|
| Quality Life Center Of Jacksonville | Doing Business As Name - Organization |
| Street Address |
11265 ALUMNI WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32246-6685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669941126 | Moriah Brown | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2018-11-14 |
| 1922599083 | Marlyn Behavioral Health Systems, Inc | Clinic/Center | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2018-05-24 |
| 1912497306 | Margaret Elizabeth Johnston | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2018-05-11 |
| 1861941114 | Lavon M Gainey | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2016-09-28 |
| 1396298915 | Lavon M. Gainey | Community Based Residential Treatment Facility, Mental Illness | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2016-08-01 |
| 1093166613 | Lavon M. Gainey | Social Worker | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2016-06-24 |
| 1427419910 | Lee Mikell | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2016-03-11 |
| 1609214220 | Carolyn Syliva Hillhouse-jones | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2013-06-05 |
| 1003108986 | Dawn S. Liphart | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2011-05-10 |
| 1366697278 | Christina Bath Harris | Counselor | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179863 | Samar A Ibrahim | Pharmacist | 1305 N Orange Ave Green Cove Springs, Jacksonville, FL 32246 | 2019-11-19 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| 1700449006 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 | 2019-04-22 |
| 1205399946 | Usa United Surgical Assistants | Clinic/Center | Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 | 2019-04-10 |
| 1780173526 | Jules Novall LLC | Taxi | 4600 Touchton Rd, Jacksonville, FL 32246 | 2018-05-08 |
| 1740636307 | Jonathan David Browning | Psychiatry & Neurology | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 |
| 1952770463 | Alignment Healthcare Florida LLC | Clinic/Center | 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 | 2015-09-15 |
| 1558739417 | Jessica Brake | Physical Therapist | 9726 Touchton Road, Suite 104, Jacksonville, FL 32246 | 2015-09-09 |
| 1043686256 | Healthyeye Dba Vision Express LLC | Optometrist | 4871 Town Center Parkway #5, Jacksonville, FL 32246 | 2015-08-12 |
| 1477954675 | Joanivette Rodriguez | Psychologist | 3451 Saland Way Apt 504, Jacksonville, FL 32246 | 2014-09-08 |
| Find all providers in zip 32246 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237182 | Anchor Life Clinic | Clinic/Center | 9654 Ragsdale Dr, Jacksonville, FL 32257-6121 | 2020-08-28 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1669019212 | Cass County Mental Health | Clinic/Center | 60 E Central Park Plz, Jacksonville, IL 62650-2071 | 2019-12-03 |
| 1962974766 | Mara's Lighthouse Counseling Center, LLC | Clinic/Center | 6015 Morrow St E Ste 109, Jacksonville, FL 32217-2125 | 2018-12-19 |
| 1417428483 | Recovery Innovations Inc | Clinic/Center | 215b Memorial Dr, Jacksonville, NC 28546-6333 | 2018-12-17 |
| 1386131092 | Renascence Behavioral Healthcare Group, Inc | Clinic/Center | 8553 Argyle Business Loop Ste 1, Jacksonville, FL 32244-6604 | 2018-04-18 |
| 1093231987 | Aspire Psychiatric Services, LLC | Clinic/Center | 625 N 1st St Ste C, Jacksonville, AR 72076-4138 | 2017-08-22 |
| 1598295701 | North Florida Learning & Behavioral Health, LLC | Clinic/Center | 8825 Perimeter Park Blvd Ste 302, Jacksonville, FL 32216-1112 | 2017-06-20 |
| 1700179868 | Chemical Dependency Counseling, Inc. | Clinic/Center | 300 W Adams St Ste 240, Jacksonville, FL 32202-4365 | 2011-05-24 |
| 1952452096 | Psi Services IIi, Inc. | Clinic/Center | 4819 Soutel Dr, Jacksonville, FL 32208-1856 | 2007-01-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32246 |
Please comment or provide details below to improve the information on MARLYN ENTERPRISES OF JACKSONVILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.