Organization
BAYCARE BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VICE PRESIDENT)
(727) 281-9202
Entity
Organization
Contact information
Practice address
12780 RACE TRACK RD STE 205, TAMPA, FL 33626-1395
(813) 792-8878
(813) 443-8171
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-6974
(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
—
060297341
—
FL
Enumeration date
10/03/2023
Last updated
05/21/2024
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