Marlyn Behavioral Health Systems, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARLYN BEHAVIORAL HEALTH SYSTEMS, INC

Practice address

11265 Alumni Way
Jacksonville, FL 32246-6685

Phone

(904) 398-2020

Fax

(904) 724-2172

NPI assigned

May 24, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Audris Lewis

Title

HR Manager

Phone

(904) 398-2020

Specialties & licenses 1

Addresses

Other names 1

• Quality Resource Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1922599083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11265 ALUMNI WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466685",
            "telephone_number": "904-398-2020",
            "fax_number": "904-724-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11265 ALUMNI WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466685",
            "telephone_number": "904-398-2020",
            "fax_number": "904-724-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLYN BEHAVIORAL HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "AUDRIS",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "904-398-2020"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vann Markwalter, BCBA
• Marla D Golden DO PA
• Anthony Marler, LMHC
• Norah Ann Marler
• Ryan Anthony Marler
• Marlyn Enterprises of Jacksonville, Inc.
• Amanda Hope Marmo, PA-C
• Cecilia Marney, MSW
• Debra Breeanna Maron, PHARMD
• Kelli Maroney

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.