| Behavioral Healthcare Umbrella Pc | |
|
124 Hawthorne Way Davenport FL 33896 | |
| (863) 900-2098 | |
| Not Available |
| Full Name | Behavioral Healthcare Umbrella Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 124 Hawthorne Way, Davenport, Florida |
| Authorized Official Name and Position | Blake Bowen (CEO) |
| Authorized Official Contact | 7192092132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Healthcare Umbrella Pc 1905 N Sherman St Ste 200 Denver CO 80203-1132 Ph: (863) 900-2098 | Behavioral Healthcare Umbrella Pc 124 Hawthorne Way Davenport FL 33896 Ph: (863) 900-2098 |
| NPI Number | 1417775842 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417775842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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