Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Other names
TMH Behavioral Health Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN L MOSS (EXECUTIVE DIRECTOR)
(850) 431-6256
Entity
Organization
Contact information
Practice address
1616 PHYSICIANS DR, TALLAHASSEE, FL 32308-4619
(850) 431-5100
(850) 431-6105
Mailing address
1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
(850) 431-7021
(850) 431-6975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4080
FL
101YM0800X
Mental Health Counselor
4080
FL
103T00000X
Psychologist
4080
FL
104100000X
Social Worker
4080
FL
1041C0700X
Clinical Social Worker
4080
FL
2084P0800X
Psychiatry Physician
4080
FL
273R00000X
Psychiatric Hospital Unit
Primary
4080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24766O
BLUE CROSS BLUE SHEILD
—
05
—
375270417
—
FL
Enumeration date
05/22/2006
Last updated
01/28/2019
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