| Bay Area Behavioral Services | |
|
126 Lithia Pinecrest Rd Brandon FL 33511-5347 | |
| (813) 689-8828 | |
| (813) 689-8802 |
| Full Name | Bay Area Behavioral Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 126 Lithia Pinecrest Rd, Brandon, Florida |
| Authorized Official Name and Position | Steven Glenn Friedman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8136898828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Behavioral Services 126 Lithia Pinecrest Rd Brandon FL 33511-5347 Ph: (813) 689-8828 | Bay Area Behavioral Services 126 Lithia Pinecrest Rd Brandon FL 33511-5347 Ph: (813) 689-8828 |
| NPI Number | 1639137474 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639137474 | NPI | - | NPPES |
| 760503000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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