Healthcare Provider Details

I. General information

NPI: 1447154026
Provider Name (Legal Business Name): AGH BEHAVIORAL SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 GOLDWYN AVE S
LEHIGH ACRES FL
33974-9759
US

IV. Provider business mailing address

728 GOLDWYN AVE S
LEHIGH ACRES FL
33974-9759
US

V. Phone/Fax

Practice location:
  • Phone: 754-286-8026
  • Fax:
Mailing address:
  • Phone: 754-286-8026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: AILIRYS GARCIA HERNANDEZ
Title or Position: PRESIDENT
Credential:
Phone: 754-286-8026