MEDICARE: PREVAIL BEHAVIORAL HEALTH

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
1	252Y00000X	Early Intervention Provider Agency
2	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285398990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREVAIL BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	937 BAY GROVE RD
Second Line	:
City	:	FREEPORT
State	:	FL
Zip	:	32439-4837
Country	:	US
Telephone Number	:	954-632-2835
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 BAY GROVE BLVD
Second Line	:
City	:	FREEPORT
State	:	FL
Zip	:	32439-1725
Country	:	US
Telephone Number	:	954-632-2835
Fax Number	:	850-273-6675

Authorized Official
Title or Position	:	MGR
Name	:	ASHLEY MCDONALD
Credential	:
Telephone Number	:	954-632-2835

Provider Enumeration Date	:	10/28/2021
Last Update Date	:	10/30/2025

Similar Medicare Providers

1629445846 — BRIGHT STAR PEDIATRIC AND ADOLECENT CENTER
Practice Location Address:

75 BAY GROVE BLVD
FREEPORT, FL
32439-1725

Practice Phone: 850-374-2311
Practice Fax:

1649133992 — KELLY ERIN WILLIAMS
Practice Location Address:

75 BAY GROVE BLVD
FREEPORT, FL
32439-1725

Practice Phone: 954-632-2835
Practice Fax:

1053252684 — PENSACOLA NEPHROLOGY PA
Practice Location Address:

67 JOE CAMPBELL RD
FREEPORT, FL
32439-4418

Practice Phone: 850-862-2385
Practice Fax:

1174466825 — LESLIE JENIENE KIMZEY
Practice Location Address:

426 BRUSHED DUNES CIR
FREEPORT, FL
32439-6265

Practice Phone: 850-333-0808
Practice Fax:

1831209899 — AMY L SMITH DMD
Practice Location Address:

479 HIGHWAY 20 E
FREEPORT, FL
32439-3931

Practice Phone: 850-880-6568
Practice Fax:

1366413049 — MR. CHRISTOPHER RAY WEEKS R PH
Practice Location Address:

132 E HWY 20
FREEPORT, FL
32439

Practice Phone: 850-835-2028
Practice Fax: 850-835-2028

Directions to “PREVAIL BEHAVIORAL HEALTH ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.