Provider Demographics
NPI:1366533044
Name:ST PETE BEHAVIORAL HEALTH CENTER INC
Entity type:Organization
Organization Name:ST PETE BEHAVIORAL HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALBENA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHRISTOVA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-895-8499
Mailing Address - Street 1:3551 42ND AVE S STE B107
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-4369
Mailing Address - Country:US
Mailing Address - Phone:727-895-8499
Mailing Address - Fax:727-895-8497
Practice Address - Street 1:3551 42ND AVE S STE B107
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-4369
Practice Address - Country:US
Practice Address - Phone:727-895-8499
Practice Address - Fax:727-895-8497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4526Medicare ID - Type UnspecifiedFIRST COAST OPTIONS
FL101447Medicare Oscar/Certification