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NPI Code Detail

MEDICARE: WITHIN HEALTH PROVIDER SERVICES

MEDICARE: WITHIN HEALTH PROVIDER SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1265104038
Entity Type Code : Organization
Provider Name (Legal Business Name) : WITHIN HEALTH PROVIDER SERVICES
Provider Business Mailing Address
First Line : 2665 S BAYSHORE DR STE 220
Second Line :
City : MIAMI
State : FL
Zip : 33133-5402
Country : US
Telephone Number : 866-918-2114
Fax Number :
Provider Business Practice Location Address
First Line : 2450 COLORADO AVE STE 100E
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-5535
Country : US
Telephone Number : 866-918-2114
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF HEALTH SERVICES
Name : CHRISTINE STOCKERT
Credential : RN
Telephone Number : 305-725-2028
Provider Enumeration Date : 09/30/2021
Last Update Date : 04/02/2024

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Directions to “WITHIN HEALTH PROVIDER SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.