| Braincare Performance Center - Destin Llc | |
|
4008 Legendary Dr Ste W-320 Destin FL 32541-8610 | |
| (757) 619-7108 | |
| Not Available |
| Full Name | Braincare Performance Center - Destin Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4008 Legendary Dr Ste W-320, Destin, Florida |
| Authorized Official Name and Position | Sean Haberberger (MEMBER) |
| Authorized Official Contact | 7576197108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braincare Performance Center - Destin Llc 4008 Legendary Dr Ste W-320 Destin FL 32541-8610 Ph: () - | Braincare Performance Center - Destin Llc 4008 Legendary Dr Ste W-320 Destin FL 32541-8610 Ph: (757) 619-7108 |
| NPI Number | 1083592836 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083592836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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