Provider Demographics
NPI:1124413125
Name:BEHAVIORAL HEALTH SPECIALISTS
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMILTON
Authorized Official - Middle Name:S
Authorized Official - Last Name:PEIRSOL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, CAP, CAADC
Authorized Official - Phone:912-401-3990
Mailing Address - Street 1:3 CHATUACHEE XING
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-1602
Mailing Address - Country:US
Mailing Address - Phone:912-401-3990
Mailing Address - Fax:
Practice Address - Street 1:2538 LEEWARD WAY
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1625
Practice Address - Country:US
Practice Address - Phone:912-401-3990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5774101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5774OtherFLORIDA CERTIFICATION BOARD