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Organization
ADVANCED BEHAVIORAL CLINICIANS
Active
Organization
ADVANCED BEHAVIORAL CLINICIANS
Active
Other names
Adair Deicke
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADAIR LYNNE DEICKE APRN, PMHNP-BC (CEO/OWNER)
(941) 870-3600
Entity
Organization
Contact information
Practice address
2740 COCONUT BAY LN UNIT 3G, SARASOTA, FL 34237-3055
(941) 870-3600
(727) 998-8401
Mailing address
2740 COCONUT BAY LN UNIT 3G, SARASOTA, FL 34237-3055
(941) 870-3600
(727) 998-8401
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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