N/A
LBN: Dra Behavioral Health Corp
N/A is an health care organization with primary practice located at 6107 Palm Dr , Fort Pierce FL 34982-7577. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Voluntary or Charitable, Agencies / Early Intervention Provider Agency, Managed Care Organizations / Point of Service. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty.
Dra Behavioral Health Corp can be contacted via phone (954) 394-2835, or through Ravelo, Daisy via phone (954) 394-2835.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | SW2625 | Florida |
| Agencies / Voluntary or Charitable | 251V00000X | 59748 | Florida |
| Agencies / Early Intervention Provider Agency | 252Y00000X | SW 2625 | Florida |
| Managed Care Organizations / Point of Service | 305S00000X | 59748 | Florida |
Profile Details
| NPI number | 1205295094 |
|---|---|
| LBN Legal business name | Dra Behavioral Health Corp |
| DBA Doing business as | N/A |
| Authorized official | Ravelo, Daisy INTERN MFT |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 22nd, 2016 |
| Last updated | Mar 30th, 2017 - about 7 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 | 1205295094 | NPPES |
| Florida | Other | IMT 416 | INTERN MFT |
| Florida | Other | SW2625 | INTERN MFT |
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