MR. MARVIN TALMAGE BLACK (NPI# 1689799355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689799355 |
| Entity Type | Individual |
| Full Name | MR. MARVIN TALMAGE BLACK |
| Credential | MS, LMHC |
| 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 | 2007-03-20 |
| Last Update Date | 2011-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH3241 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 762457300 | 05 |
| Street Address |
11265 ALUMNI WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32246-6685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154430197 | Marlyn Enterprises of Jacksonville | Clinic/Center | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2006-08-30 |
| 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 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
| 1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
| 1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
| 1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
| 1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
| 1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
| 1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32246 |
Please comment or provide details below to improve the information on MR. MARVIN TALMAGE BLACK.
| 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.