Healthcare Provider Details

I. General information

NPI: 1548005333
Provider Name (Legal Business Name): BIOPSYCHODANCE MENTAL HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 NE 14TH ST STE 400
OCALA FL
34470-7740
US

IV. Provider business mailing address

2010 NE 14TH ST STE 400
OCALA FL
34470-7740
US

V. Phone/Fax

Practice location:
  • Phone: 352-421-5635
  • Fax: 352-421-9040
Mailing address:
  • Phone: 786-965-0671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE MARIA ALVAREZ GARCIA
Title or Position: OWNER
Credential:
Phone: 786-965-0671