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NPI Code Detail

MEDICARE: BAYCARE BEHAVIORAL HEALTH INC.

MEDICARE: BAYCARE BEHAVIORAL HEALTH 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1720942865
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYCARE BEHAVIORAL HEALTH INC.
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-315-6974
Fax Number :
Provider Business Practice Location Address
First Line : 14541 7TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33523-3102
Country : US
Telephone Number : 352-521-1474
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : LYNDA GORKEN
Credential :
Telephone Number : 727-281-9202
Provider Enumeration Date : 12/12/2025
Last Update Date : 03/05/2026

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Directions to “BAYCARE BEHAVIORAL HEALTH INC. ” Practice Location

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