Healthcare Provider Details

I. General information

NPI: 1417052713
Provider Name (Legal Business Name): BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 DRUID RD S
CLEARWATER FL
33756-3846
US

IV. Provider business mailing address

PO BOX 403974
ATLANTA GA
30384-3974
US

V. Phone/Fax

Practice location:
  • Phone: 727-455-8222
  • Fax:
Mailing address:
  • Phone: 813-852-3272
  • Fax: 813-635-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CARL TREMONTI
Title or Position: CFO, HOSPITAL DIVISION
Credential:
Phone: 727-455-8222