11911 PINE FOREST DRIVE NEW PORT RITCHEY 34654 NPI 1912532441

NPI Information

NPI: 1912532441
Provider Name: 11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
11911 PINE FOREST DR
NEW PORT RICHEY, FL
ZIP 34654
Phone: (813) 526-4155
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11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654 is an adult mental health clinic center in New Port Richey, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. 11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654 NPI is 1912532441. The provider is registered as an organization entity type.

The provider's business location address is:

11911 PINE FOREST DR
NEW PORT RICHEY, FL
ZIP 34654-462
Phone: (813) 526-4155

The provider's authorized official is Neveh Mahilum .
The authorized official title is Owner/manager and has the following contact phone number (813) 526-4155.

The enumeration date for this NPI number is 3/4/2020 and was last updated on 3/16/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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