Provider Demographics
NPI:1215906649
Name:BAPTIST BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:BAPTIST BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:904-376-3800
Mailing Address - Street 1:PO BOX 748519
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8519
Mailing Address - Country:US
Mailing Address - Phone:904-376-3800
Mailing Address - Fax:904-376-3998
Practice Address - Street 1:841 PRUDENTIAL DR STE 1350
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-9847
Practice Address - Country:US
Practice Address - Phone:904-376-3800
Practice Address - Fax:904-391-0167
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-17
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015645200Medicaid
FL8205120OtherAETNA
FL007AMOtherBCBS OF FLORIDA
FL015645200Medicaid
FL8205120OtherAETNA