Healthcare Provider Details

I. General information

NPI: 1104894914
Provider Name (Legal Business Name): AGENCY FOR COMMUNITY TREATMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8605 N BRANCH AVE
TAMPA FL
33604-1404
US

IV. Provider business mailing address

3450 BUSCHWOOD PARK DR STE 345
TAMPA FL
33618-4447
US

V. Phone/Fax

Practice location:
  • Phone: 813-246-4899
  • Fax: 813-621-6899
Mailing address:
  • Phone: 813-246-4899
  • Fax: 813-621-6899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHA PEREYRA
Title or Position: CEO
Credential:
Phone: 813-246-4899