Uhs Bh Telepsych Fl, PLLC
Psychiatry & Neurology, Psychiatry in Ponte Vedra Beach, FL. Organization (NPI-2).
NPI number1790453033
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1790453033
- Entity type
- Organization (NPI-2)
- Legal business name
- Uhs Bh Telepsych Fl, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2021
- Certification date
- Aug 17, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – |
Practice location
400 Marshall Landing BlvdSuite 103
Ponte Vedra Beach, FL 32082
Phone 888-880-8443
Mailing address
Po Box 21015Belfast, ME 04915-4107
Phone 888-880-8443
Authorized official
Mark Friedlander
Medical Director
9166691200
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