Healthcare Provider Details

I. General information

NPI: 1467907162
Provider Name (Legal Business Name): VIAMAR HEALTH INSTITUTES OF THE PALM BEACHES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2016
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 VILLAGE BLVD SUITE 365
WEST PALM BEACH FL
33409-1945
US

IV. Provider business mailing address

560 VILLAGE BLVD SUITE 365
WEST PALM BEACH FL
33409-1945
US

V. Phone/Fax

Practice location:
  • Phone: 561-293-4677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ETHAN LEFEVER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 561-536-4385