Organization
SEQUELCARE OF FLORIDA LLC
Active
Other names
Brighter Heights Florida, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY MARTIN (PRACTICE MANAGER)
(207) 712-4393
Entity
Organization
Contact information
Practice address
3491 GANDY BLVD N, SUITE 201, PINELLAS PARK, FL 33781-2658
(727) 547-0607
(727) 547-6752
Mailing address
3491 GANDY BLVD N, SUITE 201, PINELLAS PARK, FL 33781-2658
(727) 547-0607
(727) 547-6752
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
100001014
FL
251S00000X
Community/Behavioral Health Agency
Primary
100001014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075937600
—
FL
05
—
076079000
—
FL
05
—
076699200
—
FL
01
—
281413
AMERIGROUP OF FLORIDA
FL
01
—
33781
UNITED BEHAVIORAL HEALTH
FL
01
—
550560
VALUE OPTIONS
FL
01
—
793876000
MAGELLAN BEHAVORIAL HEALT
FL
05
—
913829300
—
FL
01
—
HCC10073
CLINIC LICENSE
FL
Enumeration date
03/08/2007
Last updated
02/09/2023
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