DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHARLOTTE BEHAVIORAL HEALTH CARE INC

MEDICARE: CHARLOTTE BEHAVIORAL HEALTH CARE 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
1324500000XSubstance Abuse Rehabilitation Facility2008AD4922-00-PFL
2251S00000XCommunity/Behavioral Health Agency1477FL
3101YA0400XAddiction (Substance Use Disorder) Counselor0808AD492200FL
41041C0700XClinical Social Worker0808AD492200FL
5101YM0800XMental Health Counselor0808AD492200FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
297564OTHERFLBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760460653
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLOTTE BEHAVIORAL HEALTH CARE INC
Provider Business Mailing Address
First Line : 1700 EDUCATION AVE
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-6222
Country : US
Telephone Number : 941-639-8300
Fax Number : 941-639-6831
Provider Business Practice Location Address
First Line : 1700 EDUCATION AVE
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-6222
Country : US
Telephone Number : 941-639-8300
Fax Number : 941-639-6831
Authorized Official
Title or Position : CEO
Name : MR. RALPH JAY GLYNN
Credential : LMHC
Telephone Number : 941-639-8300
Provider Enumeration Date : 01/03/2006
Last Update Date : 05/24/2022

Similar Medicare Providers

1962341164 — SHANNON MARIE EFFING LCSW
Practice Location Address:
1700 EDUCATION AVE
PUNTA GORDA, FL
33950-6222
Practice Phone: 941-639-8300
Practice Fax:
1619825379 — TASHYKA JUSSOME
Practice Location Address:
1700 EDUCATION AVE
PUNTA GORDA, FL
33950-6222
Practice Phone: 941-575-0222
Practice Fax:
1770593691 — VICTORIA SCANLON LMHC
Practice Location Address:
1700 EDUCATION AVE
PUNTA GORDA, FL
33950-6222
Practice Phone: 941-639-8300
Practice Fax:
1184670168 — MRS. JEAN MARIE TUCKER LMHC
Practice Location Address:
1700 EDUCATION AVE
PUNTA GORDA, FL
33950-6222
Practice Phone: 941-639-8300
Practice Fax: 941-639-6831
1912916719 — SUZY DESIO LMHC
Practice Location Address:
1700 EDUCATION AVE
PUNTA GORDA, FL
33950-6222
Practice Phone: 941-639-8300
Practice Fax: 941-639-6831
1649280868 — RALPH JAY GLYNN LMHC
Practice Location Address:
1700 EDUCATION AVE
PUNTA GORDA, FL
33950-6222
Practice Phone: 941-639-8300
Practice Fax: 941-639-6831

Directions to “CHARLOTTE BEHAVIORAL HEALTH CARE INC ” 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.