Provider Demographics
NPI:1982958633
Name:BE-COS, INC
Entity Type:Organization
Organization Name:BE-COS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR, BE-COS COUNSELIN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MESSINA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:813-631-5176
Mailing Address - Street 1:6319 CHAUNCY STREET
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1106
Mailing Address - Country:US
Mailing Address - Phone:813-631-5176
Mailing Address - Fax:813-631-1119
Practice Address - Street 1:1603 NORTH FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-2615
Practice Address - Country:US
Practice Address - Phone:813-631-5176
Practice Address - Fax:813-631-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-02
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2445103TC1900X, 103TC2200X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Single Specialty