Organization
ALLEGIANCE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE SKINNER (CEO)
(757) 303-4430
Entity
Organization
Contact information
Practice address
111 N ORANGE AVE STE 800, OFFICE 845, ORLANDO, FL 32801-2381
(757) 303-4430
Mailing address
111 N ORANGE AVE STE 800, ORLANDO, FL 32801-2381
(757) 303-4430
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
05/14/2026
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