| Centerplace Health, Inc | |
|
6919 Outreach Way North Port FL 34287-3493 | |
| (941) 529-0200 | |
| Not Available |
| Full Name | Centerplace Health, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6919 Outreach Way, North Port, Florida |
| Authorized Official Name and Position | Kari Aud Ellingstad (CEO) |
| Authorized Official Contact | 9415292422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerplace Health, Inc 1750 17th St Ste N Sarasota FL 34234-8690 Ph: (941) 529-0200 | Centerplace Health, Inc 6919 Outreach Way North Port FL 34287-3493 Ph: (941) 529-0200 |
| NPI Number | 1033817457 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033817457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Pediatric Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 Oceanside St, North Port, FL 34286 Phone: 863-529-2183 | |