Organization
BAYSIDE RECOVERY AND WELLNESS CENTER LLC
Active
Other names
BAYSIDE RECOERY AND WELLNESS CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN O'SHAUGHNESSY LMHC (CEO/CLINCIAL DIRECTOR)
(321) 372-6897
Entity
Organization
Contact information
Practice address
1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL 32905-3559
(321) 372-6897
(321) 372-6896
Mailing address
1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL 32905-3559
(321) 372-6897
(321) 372-6896
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/16/2019
Last updated
12/13/2021
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