Provider Demographics
NPI:1659934222
Name:SYNERGY HEALTH CARE AND ASSOCIATES
Entity Type:Organization
Organization Name:SYNERGY HEALTH CARE AND ASSOCIATES
Other - Org Name:SYNERGY HEALTH & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:850-326-2131
Mailing Address - Street 1:124 MARRIOTT DR STE 104
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-2981
Mailing Address - Country:US
Mailing Address - Phone:850-326-2131
Mailing Address - Fax:
Practice Address - Street 1:124 MARRIOTT DR STE 104
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2981
Practice Address - Country:US
Practice Address - Phone:850-326-2131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty