Bristol Youth Academy - Mental Health Clinic in Bristol, FL

Bristol Youth Academy is a mental health clinic (Counselor) in Bristol, Florida. The current practice location for Bristol Youth Academy is 12422 Nw G T Revell Rd, Bristol, Florida. For appointments, you can reach them via phone at (850) 643-4600. The mailing address for Bristol Youth Academy is 12422 Nw G T Revell Rd, Bristol, Florida and phone number is (850) 643-4600.

Bristol Youth Academy is licensed to practice in * (Not Available) (license number ) and its NPI number is 1134309438. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (850) 643-4600.

Contact Information

Bristol Youth Academy
12422 Nw G T Revell Rd
Bristol
FL 32321-3007
(850) 643-4600
(850) 643-2061

Mental Health Clinic Profile

Full NameBristol Youth Academy
SpecialityCounselor
Location12422 Nw G T Revell Rd, Bristol, Florida
Authorized Official Name and PositionJeanette Jackson (PROGRAM DIRECTOR)
Authorized Official Contact8506434600
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bristol Youth Academy
12422 Nw G T Revell Rd
Bristol
FL 32321-3007

Ph: (850) 643-4600
Bristol Youth Academy
12422 Nw G T Revell Rd
Bristol
FL 32321-3007

Ph: (850) 643-4600

NPI Details:

NPI Number1134309438
Provider Enumeration Date11/05/2007
Last Update Date06/14/2008

Medical Identifiers

Medical identifiers for Bristol Youth Academy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134309438NPI-NPPES
0239AD272501OtherFLOUTPATIENT SUBSTANCE ABUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Primary

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› Verified 7 days ago

Counselor in Bristol, FL

Apalachee Center Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 13888 Nw County Road 12, Bristol, FL 32321
Phone: 850-643-2232    Fax: 850-643-5657
Twin Oaks Juvenile Development, Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 11939 Nw State Road 20, Bristol, FL 32321
Phone: 850-643-1090    Fax: 850-643-1091
Community Wellness Counseling And Support Services
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 12958 Nw Collins Hill Ln, Bristol, FL 32321
Phone: 850-643-7724    Fax: 850-643-5066

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