| Ocoee Behavioral Health Llpc | |
|
2033 N Ocoee St Cleveland TN 37311-3918 | |
| (423) 458-1020 | |
| (833) 638-0070 |
| Full Name | Ocoee Behavioral Health Llpc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2033 N Ocoee St, Cleveland, Tennessee |
| Authorized Official Name and Position | Stephan M Becker (PRESIDENT) |
| Authorized Official Contact | 4234581020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocoee Behavioral Health Llpc 2033 N Ocoee St Cleveland TN 37311-3918 Ph: (423) 458-1020 | Ocoee Behavioral Health Llpc 2033 N Ocoee St Cleveland TN 37311-3918 Ph: (423) 458-1020 |
| NPI Number | 1699350652 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Medicare PECOS PAC ID | 9133528706 |
|---|---|
| Medicare Enrollment ID | O20210602000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699350652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Stephan Max Becker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063678795 PECOS PAC ID: 2062660921 Enrollment ID: I20120918000616 |
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