| Center For Behavioral Medicine | |
|
1730 Dunlawton Ave Suite 3 Port Orange FL 32127-8985 | |
| (138) 695-7390 | |
| Not Available |
| Full Name | Center For Behavioral Medicine |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1730 Dunlawton Ave, Port Orange, Florida |
| Authorized Official Name and Position | Shane Porter (MANAGING PARTNER) |
| Authorized Official Contact | 13869573905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Medicine 1730 Dunlawton Ave Suite 3 Port Orange FL 32127-8985 Ph: () - | Center For Behavioral Medicine 1730 Dunlawton Ave Suite 3 Port Orange FL 32127-8985 Ph: (138) 695-7390 |
| NPI Number | 1003348855 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003348855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH6409 (Florida) | Primary |
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