Organization
BAYCARE BEHAVIORAL HEALTH INC.
Active
Parent organization
BAYCARE BEHAVIORAL HEALTH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYCARE BEHAVIORAL HEALTH INC.
Authorized official
MRS. LYNDA GORKEN (VICE PRESIDENT)
(727) 281-9390
Entity
Organization
Contact information
Practice address
900 CARILLON PKWY STE 200, ST PETERSBURG, FL 33716-1108
(727) 561-2760
(727) 333-6384
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9065
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060297333
—
FL
Enumeration date
11/16/2017
Last updated
10/19/2022
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