Healthcare Provider Details
I. General information
NPI: 1336546696
Provider Name (Legal Business Name): BEHAVIORAL HEALTH CENTERS OF SARASOTA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2014
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6075 RAND BLVD STE 1
SARASOTA FL
34238-5126
US
IV. Provider business mailing address
6075 RAND BLVD SUITE 1
SARASOTA FL
34238-5126
US
V. Phone/Fax
- Phone: 941-921-2792
- Fax: 941-925-2438
- Phone: 941-921-2792
- Fax: 941-925-2438
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEPHEN
GEORGE
HUK
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 941-921-2792