Healthcare Provider Details

I. General information

NPI: 1568050532
Provider Name (Legal Business Name): HEALING PALMS BEHAVIORAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2021
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 SE 23RD AVE
BOYNTON BEACH FL
33435-7620
US

IV. Provider business mailing address

236 SE 23RD AVE
BOYNTON BEACH FL
33435-7620
US

V. Phone/Fax

Practice location:
  • Phone: 561-865-7405
  • Fax: 561-865-7407
Mailing address:
  • Phone: 561-865-7405
  • Fax: 561-865-7407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH CHARRON
Title or Position: PRESIDENT
Credential:
Phone: 954-404-3502