# CANOPY COVE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DR. LYNDA BROGDON PHD
- **Other names:** Health Management Institute
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487804142
- **Legal business name:** DR. LYNDA BROGDON PHD
- **Authorized official:** DR. LYNDA A BROGDON PHD (CLINICAL DIRECTOR)
- **Authorized official phone:** (850) 893-8800

## Contact information

- **Practice address:** 13305 MAHAN DR, TALLAHASSEE, FL 32309-8698
- **Practice address phone:** (850) 893-8800
- **Mailing address:** 13305 MAHAN DR, TALLAHASSEE, FL 32309-8698
- **Mailing address phone:** (850) 893-8800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | PY4363 | FL | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 09/19/2016