Organization
PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE M WOLLER PHD, LCSW (PRESIDENT)
(561) 706-1004
Entity
Organization
Contact information
Practice address
5818 SE AGNEW RD, BELLEVIEW, FL 34420-4020
(561) 706-1004
(561) 892-0268
Mailing address
2735 SE 140TH PL, SUMMERFIELD, FL 34491-2877
(561) 706-1004
(561) 892-0268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102843600
—
FL
Enumeration date
05/12/2020
Last updated
03/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us