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TYKES & TEENS INC. NPI 1093710303


NPI Information

NPI: 1093710303
Provider Name: TYKES & TEENS, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3577 SW CORPORATE PKWY
PALM CITY, FL
ZIP 34990
Phone: (772) 220-3439
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TYKES & TEENS, INC. is a community behavioral health in Palm City, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. TYKES & TEENS, INC. NPI is 1093710303. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3577 SW CORPORATE PKWY
PALM CITY, FL
ZIP 34990
Phone: (772) 220-3439
Fax: (772) 220-3484

The provider's authorized official is Eric Garza .
The authorized official title is Chief Executive Officer and has the following contact phone number (772) 220-3439.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 8/5/2021.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)15-43-AD-0899-00FLORIDANo
2101YM0800XCounselorMental HealthNo
31041C0700XSocial WorkerClinicalNo
4251B00000XCase ManagementNo
5363LP0200XNurse PractitionerPediatricsNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP9469081FLORIDANo
7251S00000XCommunity/Behavioral 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
1360230300MEDICAIDFLORIDA

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: 11/14/2023

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