| Atlas Behavioral Health, Pa | |
|
50 Leanni Way Unit B3 Palm Coast FL 32137-4754 | |
| (386) 446-5494 | |
| (386) 447-1357 |
| Full Name | Atlas Behavioral Health, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 Leanni Way Unit B3, Palm Coast, Florida |
| Authorized Official Name and Position | Kathleen Vacchelli (OWNER) |
| Authorized Official Contact | 3864465494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Behavioral Health, Pa 50 Leanni Way Unit B3 Palm Coast FL 32137-4754 Ph: (386) 446-5494 | Atlas Behavioral Health, Pa 50 Leanni Way Unit B3 Palm Coast FL 32137-4754 Ph: (386) 446-5494 |
| NPI Number | 1740472174 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 11/18/2013 |
| Medicare PECOS PAC ID | 9830287341 |
|---|---|
| Medicare Enrollment ID | O20071116000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740472174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathleen Vacchelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376566729 PECOS PAC ID: 4880780998 Enrollment ID: I20071022000175 |
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