# KMG BEHAVIORAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1770297160
- **Authorized official:** MS. TRUDI JUSTICE (PRESIDENT)
- **Authorized official phone:** (561) 927-9442

## Contact information

- **Practice address:** 15165 MICHELANGELO BLVD APT 207, DELRAY BEACH, FL 33446-6026
- **Practice address phone:** (561) 927-9442
- **Mailing address:** 1601-1 N MAIN ST UNIT 3159, JACKSONVILLE, FL 32206-7707
- **Mailing address phone:** (561) 927-9442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/10/2023
- **Last updated:** 10/26/2023