Organization
BAY AREA BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN GLENN FRIEDMAN MA (EXECUTIVE DIRECTOR)
(813) 689-8828
Entity
Organization
Contact information
Practice address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
(813) 689-8828
(813) 689-8802
Mailing address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
(813) 689-8828
(813) 689-8802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
760503000
—
FL
Enumeration date
05/02/2006
Last updated
03/30/2023
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