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10D2080816 CLIA NUMBER - PREMIER BEHAVIORAL SOLUTIONS OF FL INC DBA SUNCOAST BEHAVIORAL HEALTH CENTER

Laboratory Demographics

CLIA Number: 10D2080816

Facility Name: PREMIER BEHAVIORAL SOLUTIONS OF FL INC DBA SUNCOAST BEHAVIORAL HEALTH CENTER

Facility Address:
4480 51ST ST W
BRADENTON, FL
ZIP 34210
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Facility Phone Number: 941 251-5000

Facility Type: Hospital

Certificate Type: Waiver
NPI Number: 1033596333

Taxonomy: 103T00000X - Psychologist
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

CLIA Record

Field Name Field Value
CLIA Number 10D2080816
LAB Type Hospital
Facility Name PREMIER BEHAVIORAL SOLUTIONS OF FL INC DBA SUNCOAST BEHAVIORAL HEALTH CENTER
Street 4480 51ST ST W
City BRADENTON
State FL
ZIP 34210
Phone 941 251-5000
CertificateType 4
CertificateEffectiveDate 7/15/2022
CertificateExpirationDate 7/14/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024