| North Star Behavioral Health Llc | |
|
850 E Lime St # 2027 Tarpon Springs FL 34689-4702 | |
| (727) 218-9383 | |
| Not Available |
| Full Name | North Star Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 850 E Lime St # 2027, Tarpon Springs, Florida |
| Authorized Official Name and Position | Edward Eakes (OWNER) |
| Authorized Official Contact | 7272189383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Behavioral Health Llc 850 E Lime St # 2027 Tarpon Springs FL 34689-4702 Ph: () - | North Star Behavioral Health Llc 850 E Lime St # 2027 Tarpon Springs FL 34689-4702 Ph: (727) 218-9383 |
| NPI Number | 1962962704 |
|---|---|
| Provider Enumeration Date | 03/20/2019 |
| Last Update Date | 03/20/2019 |
| Medicare PECOS PAC ID | 9133461189 |
|---|---|
| Medicare Enrollment ID | O20190423002892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962962704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Edward E Eakes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912477712 PECOS PAC ID: 4789658808 Enrollment ID: I20040824001120 |
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