| Baycare Behavioral Health Inc. | |
|
12780 Race Track Rd Ste 205 Tampa FL 33626-1395 | |
| (813) 792-8878 | |
| (813) 443-8171 |
| Full Name | Baycare Behavioral Health Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12780 Race Track Rd Ste 205, Tampa, Florida |
| Authorized Official Name and Position | Lynda Gorken (VICE PRESIDENT) |
| Authorized Official Contact | 7272819202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Behavioral Health Inc. 2995 Drew St Fl 2 Clearwater FL 33759-3012 Ph: (727) 315-6974 | Baycare Behavioral Health Inc. 12780 Race Track Rd Ste 205 Tampa FL 33626-1395 Ph: (813) 792-8878 |
| NPI Number | 1619757077 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619757077 | NPI | - | NPPES |
| 060297341 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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