Provider Demographics
NPI:1336194257
Name:CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC.
Entity Type:Organization
Organization Name:CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LMFT
Authorized Official - Phone:813-740-4811
Mailing Address - Street 1:719 S US HIGHWAY 301
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4349
Mailing Address - Country:US
Mailing Address - Phone:813-740-4811
Mailing Address - Fax:813-740-4821
Practice Address - Street 1:719 S US HIGHWAY 301
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4349
Practice Address - Country:US
Practice Address - Phone:813-740-4811
Practice Address - Fax:813-740-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization