NPI: 1619032166 · ORANGE PARK, FL 32073 · Mental Health Counselor · NPI assigned 12/26/2006
| Authorized Official | MCCLENDON, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 12/26/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 56 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 56 | 25 | $3K |