Organization · NPI-2

Behavioral Health Professionals LLC

Community/Behavioral Health · Lakeland, FL

NPI number1093975815
StatusActive
Last updated in NPPESJun 16, 2008

Details

NPI
1093975815
Entity type
Organization (NPI-2)
Legal business name
Behavioral Health Professionals LLC
Organization subpart
Yes
Enumeration date
Jun 16, 2008
Last updated
Jun 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

4951 Southfork Drive
Lakeland, FL 33813

Phone 863-577-2625

Mailing address

Po Box 1559
Bartow, FL 33831-1559

Authorized official

Bennie Allred
Ceo
8635190575

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health providers in Lakeland, FL