| Suncoast Behavioral Services | |
|
40347 Us Highway 19 N Ste 103 Tarpon Springs FL 34689-4841 | |
| (727) 786-6839 | |
| (727) 772-8212 |
| Full Name | Suncoast Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40347 Us Highway 19 N Ste 103, Tarpon Springs, Florida |
| Authorized Official Name and Position | Mary M Fuller (PRESIDENT) |
| Authorized Official Contact | 7277866839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Behavioral Services 40347 Us Highway 19 N Ste 103 Tarpon Springs FL 34689-4841 Ph: (727) 786-6839 | Suncoast Behavioral Services 40347 Us Highway 19 N Ste 103 Tarpon Springs FL 34689-4841 Ph: (727) 786-6839 |
| NPI Number | 1720312762 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720312762 | NPI | - | NPPES |
| 689477198 | Medicaid | FL | |
| 689477196 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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