| Baptist Behavioral Health, Llc | |
|
1650 Prudential Dr Ste 210 Jacksonville FL 32207-8149 | |
| (904) 376-3800 | |
| (904) 376-3998 |
| Full Name | Baptist Behavioral Health, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1650 Prudential Dr Ste 210, Jacksonville, Florida |
| Authorized Official Name and Position | Elizabeth Tish De Medici (CREDENTIALING MGR) |
| Authorized Official Contact | 9043763800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Behavioral Health, Llc Po Box 748519 Atlanta GA 30374-8519 Ph: (904) 376-3800 | Baptist Behavioral Health, Llc 1650 Prudential Dr Ste 210 Jacksonville FL 32207-8149 Ph: (904) 376-3800 |
| NPI Number | 1164155974 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 07/08/2022 |
| Certification Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164155974 | NPI | - | NPPES |
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