Organization
BRANDON MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE THOMAS RAYMOND L.C.S.W. (C.E.O.)
(813) 401-6586
Entity
Organization
Contact information
Practice address
1134 BELL SHOALS RD., BRANDON, FL 33511
(813) 315-8648
(813) 438-8973
Mailing address
1134 BELL SHOALS RD., BRANDON, FL 33511
(813) 315-8648
(813) 438-8973
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW9082
FL
Other
Enumeration date
09/30/2008
Last updated
02/23/2022
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