Provider Demographics
NPI:1659025864
Name:JONES, ANTHONY J (RMCI IMH13250)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:J
Last Name:JONES
Suffix:
Gender:M
Credentials:RMCI IMH13250
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-1103
Mailing Address - Country:US
Mailing Address - Phone:727-623-9070
Mailing Address - Fax:727-623-9045
Practice Address - Street 1:7301 1ST AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1103
Practice Address - Country:US
Practice Address - Phone:727-623-9070
Practice Address - Fax:727-623-9045
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH13250101Y00000X, 101YP1600X, 172V00000X, 101YM0800X, 222Q00000X, 101YM0800X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No172V00000XOther Service ProvidersCommunity Health Worker
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist