| Bayside Recoery And Wellness Center Llc | |
|
1501 Robert J Conlan Blvd Ne Ste 7 Palm Bay FL 32905-3559 | |
| (321) 372-6897 | |
| (321) 372-6896 |
| Full Name | Bayside Recoery And Wellness Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1501 Robert J Conlan Blvd Ne Ste 7, Palm Bay, Florida |
| Authorized Official Name and Position | Morgan O'shaughnessy (CEO/CLINCIAL DIRECTOR) |
| Authorized Official Contact | 3213726897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Recoery And Wellness Center Llc 1501 Robert J Conlan Blvd Ne Ste 7 Palm Bay FL 32905-3559 Ph: (321) 372-6897 | Bayside Recoery And Wellness Center Llc 1501 Robert J Conlan Blvd Ne Ste 7 Palm Bay FL 32905-3559 Ph: (321) 372-6897 |
| NPI Number | 1134775976 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Medicare PECOS PAC ID | 9032507272 |
|---|---|
| Medicare Enrollment ID | O20211021000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134775976 | NPI | - | NPPES |
| Provider Name | Bethann Mahoney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104990217 PECOS PAC ID: 2264424936 Enrollment ID: I20131218000793 |
| Provider Name | Fritz Jean-noel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881891943 PECOS PAC ID: 5799843603 Enrollment ID: I20170811002507 |
| Provider Name | Agustin Gracia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295469054 PECOS PAC ID: 0345624110 Enrollment ID: I20220826002895 |
| Provider Name | Kerstin D Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174283097 PECOS PAC ID: 7113391939 Enrollment ID: I20230317002108 |
| Provider Name | Morgan Y O'shaughnessy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407479876 PECOS PAC ID: 4880032499 Enrollment ID: I20240402001848 |
Abundant Life Centers Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2475 Palm Bay Rd Ne Ste 145-23, Palm Bay, FL 32905 Phone: 321-345-6831 | |
Blue Iris Behavioral Services Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4640 Lipscomb St Ne Ste 4, Palm Bay, FL 32905 Phone: 321-537-4467 | |
Socially Significant Applied Behavior Analysis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Feldman St Se, Palm Bay, FL 32909 Phone: 321-750-9803 | |
Making Strides Aba Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4651 Babcock St Ne, Ste 18, Palm Bay, FL 32905 Phone: 321-338-3936 | |
Bayside Family Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1890 Hallendale Ave Sw, Palm Bay, FL 32908 Phone: 321-616-5727 | |
New Way Counseling Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4670 Lipscomb St Ne Ste 2, Palm Bay, FL 32905 Phone: 321-312-1666 Fax: 321-733-1860 |