Organization Active NPI

Relax Behavioral Health LLC

Doing business as Relax Medical Center

  • Adult Mental Health Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1104344225
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RELAX BEHAVIORAL HEALTH LLC
Doing business as
Relax Medical Center
Practice address
2809 Poinsettia Ave Ste 1,2&6
West Palm Beach, FL 33407-5426
Phone
(561) 469-9934
NPI assigned
Sep 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keren Marie Roesser, LMHC CAP SAP CRC LPNNPI 1164773032
Title
Managing Member
Phone
(561) 398-8336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 11045 FL

Addresses

Primary practice location

2809 Poinsettia Ave Ste 1,2&6
West Palm Beach, FL 33407-5426

Mailing address

2809 Poinsettia Ave Ste 12&6
West Palm Beach, FL 33407-5426
Phone (561) 469-9934

Other names 2

  • Relax Medical Center Doing business as
  • Relax Your Mind LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2809 Poinsettia Ave
Ste Ab
West Palm Beach, FL 33407

2809 Poinsettia Ave
Ste 126
West Palm Beach, FL 33407
Phone (561) 469-9934

2809 Poinsettia Ave
#12
West Palm Beach, FL 33407
Phone (561) 469-9934

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1104344225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 POINSETTIA AVE STE 12&6",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075426",
            "telephone_number": "561-469-9934",
            "fax_number": "888-972-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 POINSETTIA AVE STE 1,2&6",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075426",
            "telephone_number": "561-469-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAX BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "ROESSER",
        "authorized_official_first_name": "KEREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-398-8336",
        "authorized_official_credential": "LMHC CAP SAP CRC LPN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "11045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relax Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Relax Your Mind LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Relax Your Mind LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.