BAPTIST BEHAVIORAL HEALTH LLC NPI 1215906649

NPI Information

NPI: 1215906649
Provider Name: BAPTIST BEHAVIORAL HEALTH, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
841 PRUDENTIAL DR FL 10
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 376-3800
Get Directions

BAPTIST BEHAVIORAL HEALTH, LLC is a professional counselor in Jacksonville, FL. BAPTIST BEHAVIORAL HEALTH, LLC NPI is 1215906649. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

841 PRUDENTIAL DR FL 10
JACKSONVILLE, FL
ZIP 32207-329
Phone: (904) 376-3800
Fax: (904) 396-8975

The provider's authorized official is Terrie Andrews .
The authorized official title is Administrator and has the following contact phone number (904) 376-3800.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 2/9/2022.

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	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	015645200	MEDICAID	FLORIDA
2	8205120	OTHER	FLORIDA	AETNA
3	057121000	OTHER	FLORIDA	MAGELLAN
4	007AM	OTHER	FLORIDA	BCBS OF FLORIDA
5	673735	OTHER	FLORIDA	BEACON

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

NPI Synchronization or Removal

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