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Organization

BAY TO BAY BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLISHA D PRIESTER (CLINICIAN)
(510) 916-8013
Entity
Organization

Contact information

Practice address
1002 E PALM AVE, TAMPA, FL 33605-3550
(904) 323-8349
Mailing address
10312 BLOOMINGDALE AVE STE 108, RIVERVIEW, FL 33578-3603
(904) 323-8349

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
385HR2050X
Respite Care Camp
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
405300000X
Prevention Professional

Other

Enumeration date
02/25/2022
Last updated
03/10/2022
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