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NPI Code Detail

MEDICARE: EBH SERVICES OF FLORIDA, INC.

MEDICARE: EBH SERVICES OF FLORIDA, 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)
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1841627171
Entity Type Code : Organization
Provider Name (Legal Business Name) : EBH SERVICES OF FLORIDA, INC.
Provider Business Mailing Address
First Line : PO BOX 670564
Second Line :
City : DALLAS
State : TX
Zip : 75267-0564
Country : US
Telephone Number : 615-567-7256
Fax Number :
Provider Business Practice Location Address
First Line : 112 N OAK ST
Second Line : SUITE 109
City : LANTANA
State : FL
Zip : 33462-3260
Country : US
Telephone Number : 615-567-7252
Fax Number :
Authorized Official
Title or Position : DIRECTOR REVENUE CYCLE
Name : MS. CHERYL MAPLESDEN
Credential : CPC, CHC, CHPC
Telephone Number : 615-510-3708
Provider Enumeration Date : 10/01/2013
Last Update Date : 02/15/2016

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Directions to “EBH SERVICES OF FLORIDA, INC. ” Practice Location

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