# ONYX BEHAVIORAL HEALTH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811698152
- **Authorized official:** MR. SAMUEL PHILIP KESARIS (CEO, OWNER)
- **Authorized official phone:** (954) 665-3826

## Contact information

- **Practice address:** 699 NW AIROSO BLVD, PORT ST LUCIE, FL 34983-1108
- **Practice address phone:** (772) 205-3160
- **Practice address fax:** (772) 673-0218
- **Mailing address:** 699 NW AIROSO BLVD, PORT ST LUCIE, FL 34983-1108
- **Mailing address phone:** (772) 205-3160
- **Mailing address fax:** (772) 673-0218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/14/2023
- **Last updated:** 11/15/2023