Provider Demographics
NPI:1760848089
Name:SUNLY BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:SUNLY BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNA
Authorized Official - Middle Name:LOLITA
Authorized Official - Last Name:UZUN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:352-843-4477
Mailing Address - Street 1:2801 SW COLLEGE RD
Mailing Address - Street 2:SUITE 20
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7406
Mailing Address - Country:US
Mailing Address - Phone:352-843-4477
Mailing Address - Fax:
Practice Address - Street 1:2801 SW COLLEGE RD
Practice Address - Street 2:SUITE 20
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7406
Practice Address - Country:US
Practice Address - Phone:352-843-4477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X
FL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty