Bay To Bay Behavioral Health Llc
Legal Business Name
Bay To Bay Behavioral Health Llc
NPI Number
1285380493
NPI Type
Organization
Enumeration Date
02/25/2022
Specialties
(Taxonomies)Name
Code
101YA0400X
261QM0850X
171M00000X
251S00000X
101Y00000X
251C00000X
171400000X
253Z00000X
101YM0800X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
10312 BLOOMINGDALE AVE STE 108
1002 E PALM AVE
City
Riverview
Tampa
State
FL
FL
Postal Code
33578-3603
33605-3550
Country
US
US
Telephone Number
(904) 323-8349
(904) 323-8349
Authorized Official
Name
Kellisha Priester
Title or Position
CLINICIAN
Telephone Number
(510) 916-8013
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
info@baytobaybh.com
Endpoint Description
Directors Email
Use
Health Information Exchange (HIE)
Content Type
CSV
Affiliation
N
Endpoint Location
10312 Bloomingdale Ave Ste 108Riverview, FL335783603US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/10/2022