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

Jack Mathew Davis, IMH

Individual provider Mental Health Counselor · NPI 1255197356

Jack Mathew Davis, IMH is a Mental Health Counselor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Phone: (904) 376-3800
Fax: (904) 390-7398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH24995 (FL)

Record details

NPI number1255197356
Entity typeIndividual (Type 1)
GenderMale
Credentials IMH
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

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