Provider Demographics
NPI:1568054666
Name:SILVER LININGS BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:SILVER LININGS BEHAVIORAL HEALTH, LLC
Other - Org Name:SILVER LININGS BEHAVIORAL HEALTH, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-951-3645
Mailing Address - Street 1:1420 CELEBRATION BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5162
Mailing Address - Country:US
Mailing Address - Phone:407-922-4012
Mailing Address - Fax:407-530-0173
Practice Address - Street 1:1420 CELEBRATION BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5162
Practice Address - Country:US
Practice Address - Phone:407-922-4012
Practice Address - Fax:407-530-0173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109519500Medicaid