Organization
PUR BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH COOPER (CEO)
(772) 971-9197
Entity
Organization
Contact information
Practice address
1406 16TH ST, VERO BEACH, FL 32960-3625
(772) 584-3692
Mailing address
1406 16TH ST, VERO BEACH, FL 32960-3625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/16/2023
Last updated
10/10/2025
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