Healthcare Provider Details

I. General information

NPI: 1194522938
Provider Name (Legal Business Name): DIAMOND BEHAVIORAL HEALTH TALLAHASSEE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2767 RAYMOND DIEHL RD
TALLAHASSEE FL
32309-3522
US

IV. Provider business mailing address

2767 RAYMOND DIEHL RD
TALLAHASSEE FL
32309-3522
US

V. Phone/Fax

Practice location:
  • Phone: 772-812-9652
  • Fax: 833-535-0164
Mailing address:
  • Phone: 772-812-9652
  • Fax: 833-535-0164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ADAM MULTZ
Title or Position: CEO
Credential:
Phone: 844-909-2525