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NPI Code Detail

MEDICARE: BEHAVIORAL HEALTH THERAPIES INC.

MEDICARE: BEHAVIORAL HEALTH THERAPIES INC.
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558696005
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL HEALTH THERAPIES INC.
Provider Business Mailing Address
First Line : 40347 US HIGHWAY 19 N STE 103
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-4841
Country : US
Telephone Number : 727-330-8932
Fax Number : 727-772-8212
Provider Business Practice Location Address
First Line : 40347 US HIGHWAY 19 N STE 103
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-4841
Country : US
Telephone Number : 727-330-8932
Fax Number : 727-772-8212
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : DR. MARY MARGARET FULLER
Credential : PH.D.
Telephone Number : 727-460-3934
Provider Enumeration Date : 10/15/2009
Last Update Date : 08/31/2016

Similar Medicare Providers

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Practice Location Address:
40347 US HIGHWAY 19 N STE 103
TARPON SPRINGS, FL
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1265946214 — DANIELLE EDWARDS
Practice Location Address:
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TARPON SPRINGS, FL
34689-4841
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Practice Fax:
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Practice Location Address:
40347 US HIGHWAY 19 N STE 103
TARPON SPRINGS, FL
34689-4841
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1912489667 — ANGY HABASHY
Practice Location Address:
40347 US HIGHWAY 19 N STE 103
TARPON SPRINGS, FL
34689-4841
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1730725433 — GINA POLLY
Practice Location Address:
40347 US HIGHWAY 19 N STE 103
TARPON SPRINGS, FL
34689-4841
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Practice Fax:

Directions to “BEHAVIORAL HEALTH THERAPIES INC. ” Practice Location

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