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Organization
AMERICAN HEALTHCARE COMMUNITY BEHAVIORAL SERVICES LLC
Active
Organization
AMERICAN HEALTHCARE COMMUNITY BEHAVIORAL SERVICES LLC
Active
Other names
American Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE A. ZIGLEAR MT (OWNER/CEO)
(321) 228-4134
Entity
Organization
Contact information
Practice address
1203 FLORIDA AVE., ST. CLOUD, FL 34769
(407) 593-1062
(407) 277-7622
Mailing address
1203 FLORIDA AVE., ST. CLOUD, FL 34769
(407) 593-1062
(407) 277-7622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MT2452
FL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
CCMS100378-AC
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015614700
—
FL
Enumeration date
04/28/2016
Last updated
12/27/2017
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