Provider Demographics
NPI:1710084165
Name:CARE CENTER FOR MENTAL HEALTH
Entity Type:Organization
Organization Name:CARE CENTER FOR MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FUNK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:395-853-3284
Mailing Address - Street 1:921140 OVERSEAS HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2100
Mailing Address - Country:US
Mailing Address - Phone:305-853-3284
Mailing Address - Fax:305-853-3286
Practice Address - Street 1:921140 OVERSEAS HIGHWAY
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2100
Practice Address - Country:US
Practice Address - Phone:305-853-3284
Practice Address - Fax:305-853-3286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3007103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty