Provider Demographics
NPI:1467907162
Name:VIAMAR HEALTH INSTITUTES OF THE PALM BEACHES, LLC
Entity Type:Organization
Organization Name:VIAMAR HEALTH INSTITUTES OF THE PALM BEACHES, LLC
Other - Org Name:VIAMAR HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFEVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-536-4385
Mailing Address - Street 1:560 VILLAGE BLVD
Mailing Address - Street 2:SUITE 365
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1945
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:560 VILLAGE BLVD
Practice Address - Street 2:SUITE 365
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1945
Practice Address - Country:US
Practice Address - Phone:561-293-4677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QM0850X
283Q00000X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No283Q00000XHospitalsPsychiatric Hospital
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility