MR. ROBERT C MCQUEEN JR. (NPI# 1174671861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174671861 |
| Entity Type | Individual |
| Full Name | MR. ROBERT C MCQUEEN JR. |
| Other Name | MR. BOB MCQUEEN |
| Credential | LMHC |
| Practice Address |
4711 Hwy 17s. Ste. C-4 Orange Park FL 32003 |
| Mailing Address |
7985 Colee Cove Rd St Augustine FL 32092-2306 |
| Practice Telephone | 9046513237 |
| Practice Fax Number | 9042178623 |
| Mailing Telephone | 9046513237 |
| Mailing Fax Number | 9042178623 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1808 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH-4271 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460350 | Robert Clarkson Mcqueen | Allergy & Immunology | 1828 W Plaza Dr, Winchester, VA 22601-6365 | 2005-07-14 |
| 1780780882 | Robert Hughes Mcqueen | Internal Medicine | 2205 Pavilion Dr, Suite 201, Kingsport, TN 37660-4641 | 2006-09-15 |
| 1215959523 | Robert Jerome Mcqueen | Family Medicine | 2880 Hayes St, Newberg, OR 97132-1310 | 2006-07-24 |
| Street Address |
4711 HWY 17S. STE. C-4 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449008 | Ashanti Crystal Belle | Counselor | 341 Pecan Grove Dr, Orange Park, FL 32073-1945 | 2020-05-26 |
| 1992343057 | Rodney Staten | Counselor | 1050 Prairie Dunes Ct, Orange Park, FL 32065-2679 | 2019-12-19 |
| 1649817867 | Darlene Cuevas | Counselor | 2140 Kingsley Ave Ste 2, Orange Park, FL 32073-5129 | 2019-12-06 |
| 1124673249 | Family Connections Consultants | Counselor | 685 Charter Oaks Blvd, Orange Park, FL 32065-3211 | 2019-08-06 |
| 1669026324 | Evolve Therapy LLC | Counselor | 786 Blanding Blvd Ste 120, Orange Park, FL 32065-6728 | 2019-07-30 |
| 1952955965 | Tara Bryant | Counselor | 813 Maplewood Ln, Orange Park, FL 32065-6233 | 2019-07-29 |
| 1821596545 | Sheila Jean Heilman | Counselor | 2348 Glenfinnan Dr, Orange Park, FL 32073-4200 | 2018-01-28 |
| 1558890392 | J-nissi's Therapy & Counseling LLC | Counselor | 1536 Kingsley Ave Ste 120, Orange Park, FL 32073-4525 | 2017-06-06 |
| 1326597956 | Charlotte Goodson | Counselor | 2864 Moody Ave, Orange Park, FL 32073-6423 | 2016-09-23 |
| 1942673546 | Jennie Fernandez Beltz | Counselor | 2233 Park Ave Ste 301, Orange Park, FL 32073-5569 | 2015-11-04 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
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| 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.