Provider Demographics
NPI:1477042786
Name:UNITY BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:UNITY BEHAVIORAL HEALTH LLC
Other - Org Name:UNITYBH 710
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:ANNAMAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-815-2649
Mailing Address - Street 1:PO BOX 160687
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-0687
Mailing Address - Country:US
Mailing Address - Phone:561-815-2649
Mailing Address - Fax:
Practice Address - Street 1:710 SW PORT ST LUCIE BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2692
Practice Address - Country:US
Practice Address - Phone:561-815-2649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITY BEHAVIORAL HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-02
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1000141324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility