Provider Demographics
NPI:1063003978
Name:BLESSED & BEYOND BEHAVIORAL CORP
Entity Type:Organization
Organization Name:BLESSED & BEYOND BEHAVIORAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WINNIE
Authorized Official - Middle Name:AGUIAR
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-843-0929
Mailing Address - Street 1:2328 10TH AVE N STE 501H
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6615
Mailing Address - Country:US
Mailing Address - Phone:786-843-0929
Mailing Address - Fax:
Practice Address - Street 1:2328 10TH AVE N STE 501H
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6615
Practice Address - Country:US
Practice Address - Phone:786-843-0929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty