ATLAS BEHAVIORAL HEALTH PA NPI 1740472174

NPI Information

NPI: 1740472174
Provider Name: ATLAS BEHAVIORAL HEALTH, PA
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
50 LEANNI WAY UNIT B3
PALM COAST, FL
ZIP 32137
Phone: (386) 446-5494
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ATLAS BEHAVIORAL HEALTH, PA is a mental health (including community mental health center) clinic center in Palm Coast, FL. ATLAS BEHAVIORAL HEALTH, PA NPI is 1740472174. The provider is registered as an organization entity type.

The provider's business location address is:

50 LEANNI WAY UNIT B3
PALM COAST, FL
ZIP 32137-754
Phone: (386) 446-5494
Fax: (386) 447-1357

The provider's authorized official is Kathleen Vacchelli .
The authorized official title is Owner and has the following contact phone number (386) 446-5494.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 11/18/2013.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	AF969	MEDICARE PIN	FLORIDA

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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