Healthcare Provider Details

I. General information

NPI: 1932721206
Provider Name (Legal Business Name): CHE BEHAVIORAL HEALTH SERVICES OF FLORIDA, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2020
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6750 N ANDREWS AVE STE 200
FT LAUDERDALE FL
33309-2180
US

IV. Provider business mailing address

PO BOX 67077
NEWARK NJ
07101-8083
US

V. Phone/Fax

Practice location:
  • Phone: 888-515-3834
  • Fax:
Mailing address:
  • Phone: 888-515-3834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER DENNIS
Title or Position: MD
Credential: MD
Phone: 888-515-3834