Provider Demographics
NPI:1487890034
Name:CARE CENTER FOR MENTAL HEALTH
Entity type:Organization
Organization Name:CARE CENTER FOR MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:BEELER
Authorized Official - Suffix:
Authorized Official - Credentials:CAP
Authorized Official - Phone:305-395-1361
Mailing Address - Street 1:92140 OVERSEAS HWY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2636
Mailing Address - Country:US
Mailing Address - Phone:305-395-1361
Mailing Address - Fax:305-853-3286
Practice Address - Street 1:92140 OVERSEAS HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2636
Practice Address - Country:US
Practice Address - Phone:305-395-1361
Practice Address - Fax:305-853-3286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4070305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service