Organization
CLEMENTINE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CALLIE JANE BAIRD (MANAGING MEMBER)
(813) 422-0321
Entity
Organization
Contact information
Practice address
212 W PARK ST, LAKELAND, FL 33803-1226
(813) 422-0321
(863) 213-0711
Mailing address
212 W PARK ST, LAKELAND, FL 33803-1226
(813) 422-0321
(863) 213-0711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
02/16/2026
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