Devereux Advanced Behavioral Health
LBN: Devereux Foundation, Inc.
Devereux Advanced Behavioral Health is an health care organization with primary practice located at 3550 N Goldenrod Rd Ste 1 , Winter Park FL 32792-8823. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Community Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Devereux Foundation, Inc. can be contacted via phone (321) 441-1030, or through Mckeever, Anthony via phone (610) 542-3064.
Contact Information
Primary practice address
3550 N Goldenrod Rd Ste 1
Winter Park FL 32792-8823
Phone: (321) 441-1030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X |
Profile Details
| NPI number | 1134883358 |
|---|---|
| LBN Legal business name | Devereux Foundation, Inc. |
| DBA Doing business as | Devereux Advanced Behavioral Health |
| Authorized official | Mckeever, Anthony |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2021 |
| Last updated | Jul 13th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134883358 | NPPES |
| Florida | MEDICAID | 029573624 |
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