Organization
BEHAVIORAL HEALTH MANAGEMENT SERVICES INC
Active
Other names
BayCare Life Management
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN VP (VP, PT FINANCIAL SERVICES)
(727) 281-9202
Entity
Organization
Contact information
Practice address
2995 DREW ST, 2ND FLOOR, CLEARWATER, FL 33759-3012
(727) 281-9065
(813) 635-2613
Mailing address
3440 W DR MLK BLVD STE 203, TAMPA, FL 33607-6223
(813) 254-8055
(813) 443-8163
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
10/12/2016
Last updated
10/15/2018
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