Organization
CAMEN BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE ALEXIS LOTTMAN (CEO)
(321) 972-4039
Entity
Organization
Contact information
Practice address
148 WILSHIRE BLVD, CASSELBERRY, FL 32707
(407) 687-4439
Mailing address
148 WILSHIRE BLVD, CASSELBERRY, FL 32707-5372
(407) 687-4439
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014487800
—
FL
05
—
017804807
—
FL
05
—
017804811
—
FL
05
—
017804814
—
FL
Enumeration date
12/14/2015
Last updated
04/15/2020
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