Healthcare Provider Details

I. General information

NPI: 1760347538
Provider Name (Legal Business Name): PIECES BEHAVIORAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 CLAY ST STE 400
WINTER PARK FL
32789-5486
US

IV. Provider business mailing address

1199 CLAY ST STE 400
WINTER PARK FL
32789-5486
US

V. Phone/Fax

Practice location:
  • Phone: 407-431-0520
  • Fax:
Mailing address:
  • Phone: 407-431-0520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: DEV A LACHMAN
Title or Position: OWNER
Credential:
Phone: 407-864-8133