Active NPI
Behavioral Wellness
- Community/Behavioral Health Agency
- Haines City, FL
National Provider Identifier
1396313193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BEHAVIORAL WELLNESS
- Practice address
- 306 S 10TH St Ste 340
Haines City, FL 33844-5602 - Phone
- (786) 470-9404
- NPI assigned
- Jun 16, 2021
- Last updated
- Jun 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ohilda Sanchez
- Title
- Authorized Offical
- Phone
- (786) 470-9404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
306 S 10TH St Ste 340
Haines City, FL 33844-5602
Mailing address
306 S 10TH St Ste 340
Haines City, FL 33844-5602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE | Other | FL | ACN1250 |
National Provider Directory
National Provider Directory- Tax ID family
- Behavioral Wellness Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Haines City, FL
- NPI 1578134573
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1720757313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623888000000",
"number": "1396313193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 S 10TH ST STE 340",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338445602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 S 10TH ST STE 340",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338445602",
"telephone_number": "786-470-9404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "OHILDA",
"authorized_official_title_or_position": "AUTHORIZED OFFICAL",
"authorized_official_telephone_number": "786-470-9404"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN1250",
"identifier": "LICENSE",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.