| Vida Behavioral Health Associates, Llc | |
|
3307 Northlake Blvd Ste B104 Palm Beach Gardens FL 33403-1703 | |
| (561) 618-5072 | |
| Not Available |
| Full Name | Vida Behavioral Health Associates, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3307 Northlake Blvd Ste B104, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Sussi Perez (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4018627292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Behavioral Health Associates, Llc 3307 Northlake Blvd Ste B104 Palm Beach Gardens FL 33403-1703 Ph: (401) 862-7292 | Vida Behavioral Health Associates, Llc 3307 Northlake Blvd Ste B104 Palm Beach Gardens FL 33403-1703 Ph: (561) 618-5072 |
| NPI Number | 1861991481 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 11/18/2022 |
| Certification Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861991481 | NPI | - | NPPES |
| ATN693995 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH13781 (Florida) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
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