Suncoast Behavioral Services

LBN: Suncoast Behavioral Services
Suncoast Behavioral Services is an health care organization with primary practice located at 40347 Us Highway 19 N Ste 103 , Tarpon Springs FL 34689-4841. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Suncoast Behavioral Services can be contacted via phone (727) 786-6839, or through Fuller, Mary M via phone (727) 786-6839.

Contact Information

Primary practice address
40347 Us Highway 19 N Ste 103 Tarpon Springs FL 34689-4841
Phone: (727) 786-6839
Fax: (727) 772-8212
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Mary M PHD, BCBA, LMHC,NBCC
Phone: (727) 786-6839

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1720312762
LBN Legal business name Suncoast Behavioral Services
DBA Doing business as
Authorized official Fuller, Mary M PHD, BCBA, LMHC,NBCC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2009
Last updated Sep 23rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720312762 NPPES
Florida MEDICAID 689477198
Florida MEDICAID 689477196

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