| Coastal Behavioral Health Care | |
|
6039 Benevento Dr Sarasota FL 34238-2883 | |
| (941) 552-6272 | |
| Not Available |
| Full Name | Coastal Behavioral Health Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6039 Benevento Dr, Sarasota, Florida |
| Authorized Official Name and Position | Georgia Ann Oleary (RN) |
| Authorized Official Contact | 94133128530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Behavioral Health Care 6039 Benevento Dr Sarasota FL 34238-2883 Ph: (941) 552-6272 | Coastal Behavioral Health Care 6039 Benevento Dr Sarasota FL 34238-2883 Ph: (941) 552-6272 |
| NPI Number | 1558732024 |
|---|---|
| Provider Enumeration Date | 10/09/2015 |
| Last Update Date | 10/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558732024 | NPI | - | NPPES |
| 163W00000X | Medicaid | FL | |
| 163W00000X | Other | FL | COASTAL BEHAVIORAL HEALTH CARE OUT PATIENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | RN9292201 (Florida) | Primary |
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