| Meridian Behavioral Healthcare | |
|
395 W Main St Lake Butler FL 32054-1642 | |
| (386) 496-2347 | |
| Not Available |
| Full Name | Meridian Behavioral Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 395 W Main St, Lake Butler, Florida |
| Authorized Official Name and Position | Heather Rupert (BILLING DIRECTOR) |
| Authorized Official Contact | 3523745600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Behavioral Healthcare 395 W Main St Lake Butler FL 32054-1642 Ph: (386) 496-2347 | Meridian Behavioral Healthcare 395 W Main St Lake Butler FL 32054-1642 Ph: (386) 496-2347 |
| NPI Number | 1417124751 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417124751 | NPI | - | NPPES |
| 360344014 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Meridian Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Main Street, Lake Butler, FL 32054 Phone: 386-496-2347 Fax: 386-496-4289 |