Provider Demographics
NPI:1235613522
Name:AIM BEHAVIORAL HEALTH THERAPY AND CONSULTING, LLC
Entity Type:Organization
Organization Name:AIM BEHAVIORAL HEALTH THERAPY AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-396-4530
Mailing Address - Street 1:AIM BEHAVIORAL THERAPY AND CONSULTING LLC
Mailing Address - Street 2:8668 NAVARRE PKWY UNIT 309
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-2185
Mailing Address - Country:US
Mailing Address - Phone:850-710-3848
Mailing Address - Fax:
Practice Address - Street 1:8155 NAVARRE PKWY
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-6941
Practice Address - Country:US
Practice Address - Phone:850-710-3848
Practice Address - Fax:833-781-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH15923OtherSTATE LICENSE