Suncoast Behavioral Services | |
40347 Us Highway 19 N Ste 103 Tarpon Springs FL 34689-4841 | |
(727) 786-6839 | |
(727) 772-8212 |
Full Name | Suncoast Behavioral Services |
---|---|
Speciality | Community/behavioral Health |
Location | 40347 Us Highway 19 N Ste 103, Tarpon Springs, Florida |
Authorized Official Name and Position | Mary M Fuller (PRESIDENT) |
Authorized Official Contact | 7277866839 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Suncoast Behavioral Services 40347 Us Highway 19 N Ste 103 Tarpon Springs FL 34689-4841 Ph: (727) 786-6839 | Suncoast Behavioral Services 40347 Us Highway 19 N Ste 103 Tarpon Springs FL 34689-4841 Ph: (727) 786-6839 |
NPI Number | 1720312762 |
---|---|
Provider Enumeration Date | 09/23/2009 |
Last Update Date | 09/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720312762 | NPI | - | NPPES |
689477198 | Medicaid | FL | |
689477196 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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