Mendoza Behavioral Health Llc

LBN: Mendoza Behavioral Health Llc
Mendoza Behavioral Health Llc is an health care organization with primary practice located at 110 Orange Ave , Daytona Beach FL 32114-4310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Mendoza Behavioral Health Llc can be contacted via phone (386) 256-4326, or through Mendoza, Liana via phone (386) 254-2637.

Contact Information

Primary practice address
110 Orange Ave Daytona Beach FL 32114-4310
Phone: (386) 256-4326
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mendoza, Liana Doctor of Medicine (MD)
Phone: (386) 254-2637

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ACN216 Florida

Profile Details

NPI number 1295262137
LBN Legal business name Mendoza Behavioral Health Llc
DBA Doing business as
Authorized official Mendoza, Liana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2017
Last updated Jun 11th, 2019 - about 6 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 1295262137 NPPES
Florida MEDICAID 280152300

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