Provider Demographics
NPI:1841350402
Name:GALVIS, BEATRIZ F (MA)
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:F
Last Name:GALVIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:BEATRIZ
Other - Middle Name:F
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 6051
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33508
Mailing Address - Country:US
Mailing Address - Phone:813-657-5255
Mailing Address - Fax:813-689-0435
Practice Address - Street 1:336 E BLOOMINGDALE AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-657-5255
Practice Address - Fax:813-689-0435
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMHC1193101YM0800X
FLMFT1318106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist