MEDICARE: HARMONY BEHAVIORAL HEALTH SPB LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1346033701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY BEHAVIORAL HEALTH SPB LLC

Provider Business Mailing Address
First Line	:	2123 W VINA DEL MAR BLVD
Second Line	:
City	:	ST PETE BEACH
State	:	FL
Zip	:	33706-2841
Country	:	US
Telephone Number	:	727-371-6111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 W VINA DEL MAR BLVD
Second Line	:
City	:	ST PETE BEACH
State	:	FL
Zip	:	33706-2841
Country	:	US
Telephone Number	:	727-371-6111
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NINA CARICATO
Credential	:
Telephone Number	:	727-371-6111

Provider Enumeration Date	:	05/27/2025
Last Update Date	:	05/27/2025

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