| Baycare Behavioral Health Inc. | |
|
900 Carillon Pkwy Ste 200 St Petersburg FL 33716-1108 | |
| (727) 561-2760 | |
| (727) 333-6384 |
| Full Name | Baycare Behavioral Health Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 900 Carillon Pkwy Ste 200, St Petersburg, Florida |
| Authorized Official Name and Position | Lynda Gorken (VICE PRESIDENT) |
| Authorized Official Contact | 7272819390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Behavioral Health Inc. 2995 Drew St Fl 2 Clearwater FL 33759-3012 Ph: (727) 281-9065 | Baycare Behavioral Health Inc. 900 Carillon Pkwy Ste 200 St Petersburg FL 33716-1108 Ph: (727) 561-2760 |
| NPI Number | 1568976298 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568976298 | NPI | - | NPPES |
| 060297333 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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