Provider Demographics
NPI:1790257335
Name:BEHAVIORAL SOLUTIONS MEDICAL, PC
Entity Type:Organization
Organization Name:BEHAVIORAL SOLUTIONS MEDICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-940-4867
Mailing Address - Street 1:1555 PALM BEACH LAKES BLVD STE 1105
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2328
Mailing Address - Country:US
Mailing Address - Phone:561-264-4406
Mailing Address - Fax:
Practice Address - Street 1:888 GLENBROOK AVE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-2506
Practice Address - Country:US
Practice Address - Phone:484-816-7887
Practice Address - Fax:484-468-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty