Tampa Bay Behavioral Health Centers Llc | |
1239 4th St S St Petersburg FL 33701-5223 | |
(813) 380-9843 | |
Not Available |
Full Name | Tampa Bay Behavioral Health Centers Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1239 4th St S, St Petersburg, Florida |
Authorized Official Name and Position | Marcus Lloyd Anderson (CEO & PRESIDENT) |
Authorized Official Contact | 8133809843 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tampa Bay Behavioral Health Centers Llc Po Box 35465 St Petersburg FL 33705-0508 Ph: (813) 380-9843 | Tampa Bay Behavioral Health Centers Llc 1239 4th St S St Petersburg FL 33701-5223 Ph: (813) 380-9843 |
NPI Number | 1124317698 |
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Provider Enumeration Date | 04/05/2011 |
Last Update Date | 04/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124317698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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