Provider Demographics
NPI:1861448151
Name:WEST COAST BEHAVIORAL HEALTH,LLC
Entity Type:Organization
Organization Name:WEST COAST BEHAVIORAL HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-847-7474
Mailing Address - Street 1:5824 STATE ROAD 54
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-6002
Mailing Address - Country:US
Mailing Address - Phone:727-847-7474
Mailing Address - Fax:727-847-1877
Practice Address - Street 1:5824 STATE ROAD 54
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-6002
Practice Address - Country:US
Practice Address - Phone:727-847-7474
Practice Address - Fax:727-847-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 91063261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health