# A1 MEDICAL & BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1689119174
- **Authorized official:** MS. ANGELA DENISE HARVEY (ARNP)
- **Authorized official phone:** (727) 218-8961

## Contact information

- **Practice address:** 2822 54TH AVE S \# 215, SUITE 215, ST PETERSBURG, FL 33712-4610
- **Practice address phone:** (727) 218-8961
- **Mailing address:** 2822 54TH AVE S \# 215, SUITE 215, ST PETERSBURG, FL 33712-4610
- **Mailing address phone:** (727) 218-8961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/20/2016
- **Last updated:** 01/09/2017