| Spires Behavioral Health Care Center, Pllc | |
|
4428 Lafayette Street Marianna FL 32447-5728 | |
| (850) 482-4177 | |
| (850) 482-4178 |
| Full Name | Spires Behavioral Health Care Center, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4428 Lafayette Street, Marianna, Florida |
| Authorized Official Name and Position | Willie Earl Spires (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504824177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spires Behavioral Health Care Center, Pllc Po Box 5728 4428 Lafayette Street Marianna FL 32447-5728 Ph: (850) 482-4177 | Spires Behavioral Health Care Center, Pllc 4428 Lafayette Street Marianna FL 32447-5728 Ph: (850) 482-4177 |
| NPI Number | 1821406000 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821406000 | NPI | - | NPPES |
| 600562012 | Other | FL | MAGELLAN BEHAVIORAL HEALTH |
| 000258100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH0026 (Florida) | Primary |
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