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General NPI Number Information
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NPI Number | 1033167721
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Entity Type | Organization
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Legal Business Name | SOUTH COUNTY MENTAL HEALTH CENTER, INC.
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 16158 MILITARY TRL
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City | DELRAY BEACH
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State | FL
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Zip | 33484
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Country | US
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Telephone | 561-637-1000
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Fax | 561-637-1410
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Provider Business Mailing Address
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Address Line | 16158 MILITARY TRL
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6502
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Country | US
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Telephone | 561-637-1000
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Fax | 561-637-1410
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. JOSEPH S SPEICHER
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Credential | LMHC, DPA
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Telephone | 561-637-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 060276101
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 060276100
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 060276100
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 0950AD962202
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | AL10301
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 0950AD962202
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 0950AD962202
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH6793
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 650409644
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 060276100
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License Number State | FL
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