Organization Active NPI

Soflo Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Lantana, FL
National Provider Identifier
1215668041
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOFLO BEHAVIORAL HEALTH LLC
Practice address
306 W Mango St Ste a
Lantana, FL 33462-2835
Phone
(954) 297-9802
Fax
(561) 431-5873
NPI assigned
Jun 22, 2022
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Leslie G Bravo
Title
Ceo
Phone
(954) 297-9802

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU
Case Management Agency 251B00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

306 W Mango St Ste a
Lantana, FL 33462-2835

Mailing address

306 W Mango St Ste a
Lantana, FL 33462-2835
Phone (954) 297-9802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260127002543 FL Part B Supplier - Clinic/Group Practice 6103303698 Receives reassigned benefits from 3 practitioners
Practice locations: Lantana, FL

National Provider Directory

National Provider Directory

Locations

1440 N Federal Hwy
Ste 15
Delray Beach, FL 33483

306 W Mango St
Ste A
Lantana, FL 33462
Phone (954) 297-9802

308 W Mango St
Lantana, FL 33462

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1215668041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MANGO ST STE A",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622835",
            "telephone_number": "954-297-9802",
            "fax_number": "561-431-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MANGO ST STE A",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622835",
            "telephone_number": "954-297-9802",
            "fax_number": "561-431-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFLO BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-297-9802"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.