RESURGENCE MENTAL HEALTH LLC
NPI 1184414773
Clinic/Center - Adult Mental Health in Saint Johns, FL

Active since May 08, 2025
117 BARTRAM PARKE DR, SAINT JOHNS, FL 32259(904) 504-4566 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Resurgence Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESURGENCE MENTAL HEALTH LLC (NPI 1184414773) is a healthcare organization registered as an adult mental health in Saint Johns, Florida and active in the NPI registry since May 2025. The organization lists Ethan M Sincoff, Licensed Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1184414773
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameRESURGENCE MENTAL HEALTH LLC
Location Address117 BARTRAM PARKE DRSaint Johns, FL 32259-4276
Mailing Address117 Bartram Parke DrSaint Johns, FL 32259-4276 · (904) 504-4566
Organization SubpartNo
Authorized OfficialEthan M SincoffLicensed Mental Health Counselor · (904) 504-4566
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
NPI 1184414773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
117 BARTRAM PARKE DR, Saint Johns, FL 32259

Other Names 1

Other NameEthan Sincoff

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
117 BARTRAM PARKE DR
SAINT JOHNS, FL 32259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Resurgence Mental Health LLC's NPI number?

The NPI number for Resurgence Mental Health LLC is 1184414773. It was assigned to this organization in the NPPES registry on May 8, 2025. The provider is also known as Ethan Sincoff.

Where is Resurgence Mental Health LLC located?

Resurgence Mental Health LLC is located at 117 Bartram Parke Dr, Saint Johns, FL 32259. The listed phone number is (904) 504-4566.

What is Resurgence Mental Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Resurgence Mental Health LLC was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.