Organization
SOFLO BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE G BRAVO (CEO)
(954) 297-9802
Entity
Organization
Contact information
Practice address
306 W MANGO ST STE A, LANTANA, FL 33462-2835
(954) 297-9802
(561) 431-5873
Mailing address
306 W MANGO ST STE A, LANTANA, FL 33462-2835
(954) 297-9802
(561) 431-5873
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/22/2022
Last updated
12/31/2025
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