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BEHAVIORAL HEALTH MANAGEMENT SERVICES INC NPI 1659326130


NPI Information

NPI: 1659326130
Provider Name: BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC

Doing Business As: BAYCARE LIFE MANAGEMENT

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 10D2275173

Address:
2727 W DR MARTIN LUTHER KING JR BLVD
SUITE 640
TAMPA, FL
ZIP 33607
Phone: (813) 872-7582
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BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC is a mental health counselor in Tampa, FL. BEHAVIORAL HEALTH MANAGEMENT SERVICES, INC NPI is 1659326130. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baycare Life Management.

The provider's business location address is:

2727 W DR MARTIN LUTHER KING JR BLVD
SUITE 640
TAMPA, FL
ZIP 33607-383
Phone: (813) 872-7582
Fax: (813) 635-2613

The provider's authorized official is Lynda Gorken .
The authorized official title is Vp/financial Svcs and has the following contact phone number (813) 852-3304.

The CLIA number assigned to this NPI record is 10D2275173 - other - behavioral health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 4/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1267725300MEDICAIDFLORIDA
2X1238AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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