Healthcare Provider Details

I. General information

NPI: 1164087458
Provider Name (Legal Business Name): HEAL BEHAVIORAL HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2019
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 METROCENTRE BLVD STE 300
WEST PALM BEACH FL
33407-3114
US

IV. Provider business mailing address

2505 METROCENTRE BLVD STE 300
WEST PALM BEACH FL
33407-3114
US

V. Phone/Fax

Practice location:
  • Phone: 888-491-4325
  • Fax: 561-206-0012
Mailing address:
  • Phone: 888-491-4325
  • Fax: 561-206-0012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SEAN WOLF
Title or Position: CEO
Credential:
Phone: 888-712-8480