| Mendoza Behavioral Health Llc | |
|
110 Orange Ave Daytona Beach FL 32114-4310 | |
| (386) 256-4326 | |
| Not Available |
| Full Name | Mendoza Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 110 Orange Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Liana Mendoza (PSYCHIATRIST) |
| Authorized Official Contact | 3862542637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendoza Behavioral Health Llc 110 Orange Ave Daytona Beach FL 32114-4310 Ph: () - | Mendoza Behavioral Health Llc 110 Orange Ave Daytona Beach FL 32114-4310 Ph: (386) 256-4326 |
| NPI Number | 1295262137 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295262137 | NPI | - | NPPES |
| 280152300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ACN216 (Florida) | Primary |
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