# BEHAVIORAL SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407124365
- **Authorized official:** SAMANTHA D LEMONS (PSYCHOSOCIAL REHAB SPECIALIST)
- **Authorized official phone:** (321) 443-9191

## Contact information

- **Practice address:** 371 MICHIGAN ESTATES CIR, SAINT CLOUD, FL 34769-5334
- **Practice address phone:** (321) 443-9191
- **Mailing address:** 371 MICHIGAN ESTATES CIR, SAINT CLOUD, FL 34769-5334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 12/07/2011