Gulf Coast Behavioral Health Llc | |
4075 Lagoon Ter North Port FL 34286-7646 | |
(941) 416-4338 | |
Not Available |
Full Name | Gulf Coast Behavioral Health Llc |
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Speciality | Behavior Analyst |
Location | 4075 Lagoon Ter, North Port, Florida |
Authorized Official Name and Position | Stacey Santagata (MANAGER) |
Authorized Official Contact | 9414164338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gulf Coast Behavioral Health Llc 4075 Lagoon Ter North Port FL 34286-7646 Ph: (941) 416-4338 | Gulf Coast Behavioral Health Llc 4075 Lagoon Ter North Port FL 34286-7646 Ph: (941) 416-4338 |
NPI Number | 1912767336 |
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Provider Enumeration Date | 03/21/2024 |
Last Update Date | 03/21/2024 |
Certification Date | 03/21/2024 |
Identifier | Type | State | Issuer |
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1912767336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Centerplace Health, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 Outreach Way, North Port, FL 34287 Phone: 941-529-0200 | |
Pediatric Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 Oceanside St, North Port, FL 34286 Phone: 863-529-2183 | |