Provider Demographics
NPI:1376166389
Name:BELONG MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:BELONG MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-925-5617
Mailing Address - Street 1:5602 PINNACLE HEIGHTS CIR APT 308
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-4035
Mailing Address - Country:US
Mailing Address - Phone:786-925-5617
Mailing Address - Fax:
Practice Address - Street 1:5602 PINNACLE HEIGHTS CIR APT 308
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-4035
Practice Address - Country:US
Practice Address - Phone:786-925-5617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty