MEDICARE: BEHAVIORAL HEALTH CENTERS, 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	323P00000X	Psychiatric Residential Treatment Facility
2	324500000X	Substance Abuse Rehabilitation Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05Q	OTHER	FL	FLORIDA BCBS FACILITY ID NUMBER

General Provider Information

NPI Number	:	1548076359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL HEALTH CENTERS, LLC

Provider Business Mailing Address
First Line	:	401 OLD DIXIE HWY UNIT 3599
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33469-2444
Country	:	US
Telephone Number	:	321-850-2115
Fax Number	:	321-321-9550

Provider Business Practice Location Address
First Line	:	661 EYSTER BLVD
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-8119
Country	:	US
Telephone Number	:	321-399-7374
Fax Number	:	321-321-9550

Authorized Official
Title or Position	:	CEO
Name	:	MR. JASON TROY ACKNER
Credential	:
Telephone Number	:	561-815-4478

Provider Enumeration Date	:	12/06/2024
Last Update Date	:	06/02/2026

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