| West Coast Behavioral Health,llc | |
|
5824 State Road 54 Suite 102 New Port Richey FL 34652-6002 | |
| (727) 847-7474 | |
| (727) 847-1877 |
| Full Name | West Coast Behavioral Health,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5824 State Road 54, New Port Richey, Florida |
| Authorized Official Name and Position | Shazia Zia (PRESIDENT) |
| Authorized Official Contact | 7278477474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Behavioral Health,llc 5824 State Road 54 Suite 102 New Port Richey FL 34652-6002 Ph: (727) 847-7474 | West Coast Behavioral Health,llc 5824 State Road 54 Suite 102 New Port Richey FL 34652-6002 Ph: (727) 847-7474 |
| NPI Number | 1861448151 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 06/19/2015 |
| Medicare PECOS PAC ID | 6709882996 |
|---|---|
| Medicare Enrollment ID | O20061011000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861448151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | ME 91063 (Florida) | Primary |
| Provider Name | Shazia Zia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417904392 PECOS PAC ID: 7113922139 Enrollment ID: I20060926000492 |
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