Healthcare Provider Details

I. General information

NPI: 1760848089
Provider Name (Legal Business Name): SUNLY BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 SW COLLEGE RD SUITE 20
OCALA FL
34474-7406
US

IV. Provider business mailing address

2801 SW COLLEGE RD SUITE 20
OCALA FL
34474-7406
US

V. Phone/Fax

Practice location:
  • Phone: 352-843-4477
  • Fax:
Mailing address:
  • Phone: 352-843-4477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. SUNA LOLITA UZUN
Title or Position: OWNER
Credential: PSY.D.
Phone: 352-843-4477