Provider Demographics
NPI:1528199486
Name:VENICE AREA PARTIAL SERVICES, INC.
Entity Type:Organization
Organization Name:VENICE AREA PARTIAL SERVICES, INC.
Other - Org Name:VENICE COMMUNITY MENTAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ALCORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-488-1145
Mailing Address - Street 1:1101 TAMIAMI TRL S
Mailing Address - Street 2:SUITE 215
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-4133
Mailing Address - Country:US
Mailing Address - Phone:941-488-1145
Mailing Address - Fax:941-486-4109
Practice Address - Street 1:1101 TAMIAMI TRL S
Practice Address - Street 2:SUITE 215
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-4133
Practice Address - Country:US
Practice Address - Phone:941-488-1145
Practice Address - Fax:941-486-4109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAF3101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104751Medicare ID - Type Unspecified