Provider Demographics
NPI:1700518487
Name:BE YOURSELF BEHAVIOR AND PSYCHOLOGICAL SERVICE, LLC
Entity Type:Organization
Organization Name:BE YOURSELF BEHAVIOR AND PSYCHOLOGICAL SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARILMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-910-7818
Mailing Address - Street 1:54 CALLE MUNOZ RIVERA # 4
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-1681
Mailing Address - Country:US
Mailing Address - Phone:787-910-7818
Mailing Address - Fax:
Practice Address - Street 1:54 CALLE MUNOZ RIVERA # 4
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1681
Practice Address - Country:US
Practice Address - Phone:787-910-7818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty