# MEHRAVISTA HEALTH

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

## Provider details

- **NPI number:** 1669661831
- **Authorized official:** MRS. VICKI B DAVIS LMHC (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (727) 365-9634

## Contact information

- **Practice address:** 32196 US HIGHWAY 19 N, SUITE B, PALM HARBOR, FL 34684-3710
- **Practice address phone:** (727) 781-2007
- **Mailing address:** 32196 US HIGHWAY 19 N, SUITE B, PALM HARBOR, FL 34684-3710
- **Mailing address phone:** (727) 781-2007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | MH2348 | FL | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 10/23/2007