Provider Demographics
NPI:1841455334
Name:MENTAL HEALTH SERVICES INC
Entity type:Organization
Organization Name:MENTAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LAFEHR
Authorized Official - Last Name:BOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-630-2747
Mailing Address - Street 1:4360 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6274
Mailing Address - Country:US
Mailing Address - Phone:561-630-2747
Mailing Address - Fax:561-630-2707
Practice Address - Street 1:4360 NORTHLAKE BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6274
Practice Address - Country:US
Practice Address - Phone:561-630-2747
Practice Address - Fax:561-630-2707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-402101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty