Provider Demographics
NPI:1639624711
Name:BAYPOINT THERAPY LLC
Entity Type:Organization
Organization Name:BAYPOINT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:I
Authorized Official - Last Name:LEDON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-514-6362
Mailing Address - Street 1:4300 BISCAYNE BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3255
Mailing Address - Country:US
Mailing Address - Phone:786-514-6362
Mailing Address - Fax:
Practice Address - Street 1:4300 BISCAYNE BLVD STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3255
Practice Address - Country:US
Practice Address - Phone:786-514-6362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11659251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health