| Baycare Behavioral Health Centers, Inc | |
|
433 4th St N Suite 100 St Petersburg FL 33701-2803 | |
| (800) 750-8103 | |
| (866) 788-0863 |
| Full Name | Baycare Behavioral Health Centers, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 433 4th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Bobby L Coates (PRESIDENT) |
| Authorized Official Contact | 7274035221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Behavioral Health Centers, Inc Po Box 23788 Tampa FL 33623-3788 Ph: (800) 750-8103 | Baycare Behavioral Health Centers, Inc 433 4th St N Suite 100 St Petersburg FL 33701-2803 Ph: (800) 750-8103 |
| NPI Number | 1306057187 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306057187 | NPI | - | NPPES |
| KO333 | Other | FL | GROUP BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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