Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mtb Therapist, LLC

Organization Counselor · NPI 1003314790

Mtb Therapist, LLC is a Counselor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6034 Chester Ave
Jacksonville, FL 32217-2264
Phone: (904) 323-2019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 15468 (FL)
Counselor Taxonomy 101Y00000X · Licence 15468 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15468 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 15468 (FL)

Record details

NPI number1003314790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Merland Baker — Director · (904) 322-2162
NPI enumeratedJanuary 27, 2018
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address3452 Live Oak Hollow Dr, Orange Park, FL 32065-2525

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