Provider Demographics
NPI:1952013278
Name:BEHAVIORAL HEALTH INTEGRATIVE CARE OF FL, LLC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH INTEGRATIVE CARE OF FL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP. OPS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-473-9426
Mailing Address - Street 1:471 SPENCER DR STE B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3675
Mailing Address - Country:US
Mailing Address - Phone:855-859-8850
Mailing Address - Fax:561-473-9426
Practice Address - Street 1:7350 SANDLAKE COMMONS BLVD STE 2205B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8031
Practice Address - Country:US
Practice Address - Phone:855-859-8810
Practice Address - Fax:561-473-9426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty