Provider Demographics
NPI:1952639502
Name:BAY SPRINGS, INC.
Entity Type:Organization
Organization Name:BAY SPRINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-251-9747
Mailing Address - Street 1:2110 W KATHLEEN ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1650
Mailing Address - Country:US
Mailing Address - Phone:813-251-9747
Mailing Address - Fax:813-251-9695
Practice Address - Street 1:2110 W KATHLEEN ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1650
Practice Address - Country:US
Practice Address - Phone:813-251-9747
Practice Address - Fax:813-251-9695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty