ERIC M ATHEARN


Address: 9951 Atlantic Blvd Ste 100b, Jacksonville, FL 32225-6558
Phone: 9047277778

ERIC M ATHEARN (NPI# 1225218084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225218084
Entity Type Individual
Full Name ERIC M ATHEARN
Other Name ERIC M ATHEARN
Credential LMHC
Practice Address 9951 Atlantic Blvd Ste 100b
Jacksonville
FL 32225-6558
Practice Telephone 9047277778
Mailing Telephone 9047277778
Enumeration Date 2007-11-09
Last Update Date 2009-04-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH9292 FL Behavioral Health & Social Service Providers

Office Location

Street Address 9951 ATLANTIC BLVD STE 100B
City JACKSONVILLE
State FL
Zip Code 32225-6558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023147709 Swati Varshney Psychologist 9951 Atlantic Blvd Ste 100b, Jacksonville, FL 32225-6558 2007-03-05

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32225

Improve Information

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Dataset Information

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.

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