Provider Demographics
NPI:1548005333
Name:BIOPSYCHODANCE MENTAL HEALTH CORP
Entity type:Organization
Organization Name:BIOPSYCHODANCE MENTAL HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:ALVAREZ GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-965-0671
Mailing Address - Street 1:2010 NE 14TH ST STE 400
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-7740
Mailing Address - Country:US
Mailing Address - Phone:786-965-0671
Mailing Address - Fax:
Practice Address - Street 1:2010 NE 14TH ST STE 400
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-7740
Practice Address - Country:US
Practice Address - Phone:352-421-5635
Practice Address - Fax:352-421-9040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)