Organization
SOUTHEASTERN BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA CANTO PH.D. (OWNER/AUTHORIZED REPRESENTATIVE)
(850) 296-3665
Entity
Organization
Contact information
Practice address
3303 THOMASVILLE RD STE 102, TALLAHASSEE, FL 32308-7912
(850) 296-3665
(850) 296-3665
Mailing address
3303 THOMASVILLE RD STE 102, TALLAHASSEE, FL 32308-7912
(850) 296-3665
(850) 296-3665
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10048
FL
103TS0200X
School Psychologist
SS1033
FL
Other
Enumeration date
05/14/2018
Last updated
12/28/2019
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