| Dna Behavioral Health, Llc | |
|
9040 Town Center Pkwy Lakewood Ranch FL 34202-4101 | |
| (941) 444-2019 | |
| Not Available |
| Full Name | Dna Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9040 Town Center Pkwy, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Deena Ganesh (OWNER) |
| Authorized Official Contact | 9414442019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dna Behavioral Health, Llc 9040 Town Center Pkwy Lakewood Ranch FL 34202-4101 Ph: () - | Dna Behavioral Health, Llc 9040 Town Center Pkwy Lakewood Ranch FL 34202-4101 Ph: (941) 444-2019 |
| NPI Number | 1700566072 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Medicare PECOS PAC ID | 0840648150 |
|---|---|
| Medicare Enrollment ID | O20231128000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700566072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Deena D Ganesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100842 PECOS PAC ID: 3971819319 Enrollment ID: I20150901000273 |
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