JACK MATHEW DAVIS IMH
NPI 1255197356
Counselor - Mental Health in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since February 26, 2024

820 PRUDENTIAL DR STE 510, JACKSONVILLE, FL 32207(904) 376-3800(904) 390-7398 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jack Mathew Davis Imh NPPES

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

JACK MATHEW DAVIS IMH (NPI 1255197356) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (IMH24995) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1255197356

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJACK MATHEW DAVISCredential: IMH

Location Address820 PRUDENTIAL DR STE 510Jacksonville, FL 32207-8207

Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998

Phone(904) 376-3800

Fax(904) 390-7398

Sole ProprietorNo

Enumeration DateFebruary 26, 2024

NPPES CertifiedFebruary 26, 2024

✔ NPI 1255197356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · IMH24995

820 PRUDENTIAL DR STE 510, Jacksonville, FL 32207

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Other Providers at the Same Location NPPES 18

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

GEORGE L ARMSTRONG LCSW

Social Worker (Clinical)