Healthcare Provider Details

I. General information

NPI: 1396629879
Provider Name (Legal Business Name): CATHOLIC CHARITIES BEHAVIORAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3704 E 3RD AVE
TAMPA FL
33605-5833
US

IV. Provider business mailing address

6247 SEMINOLE BLVD STE 400
SEMINOLE FL
33772-6883
US

V. Phone/Fax

Practice location:
  • Phone: 813-333-7269
  • Fax:
Mailing address:
  • Phone: 727-542-1989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARGARET ROGERS
Title or Position: CEO
Credential:
Phone: 727-542-1989