Disc Village, Inc.
Organization Active NPI Community/Behavioral Health Agency · Greenville, FL
NPI 1548971997 · NPPES record last updated Dec 7, 2022
Key facts
- NPI
- 1548971997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- DISC VILLAGE, INC.
- Practice address
- 1476 SW Main St
Greenville, FL 32331-3149 - Phone
- (850) 948-1231
- Fax
- (850) 948-1230
- NPI assigned
- Dec 7, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- DISC VILLAGE, INC.
Authorized official
- Name
- Melissa Skipton
- Title
- Quality Assurance Director
- Phone
- (850) 766-1251
Corporate family (same tax ID) 11
Practitioners 1
-
Jordon Marissa Gilbert, LCSW
National Provider Directory
- Tax ID family
- Disc Village Inc
- Part of
- Disc Village Inc
Locations
3333 W Pensacola St
Ste 300
Tallahassee, FL 32304
Phone (850) 274-2418
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1476 SW Main St
Greenville, FL 32331-3149
Mailing address
3333 West Pensacola Street
Ste. 300
Tallahassee, FL 32304-2888
Phone (850) 575-4388
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.discvillage.org | Direct |
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All providers in Greenville, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.