MAJESTIC BEHAVIORAL SERVICES


Address: 1057 Mason Ave, Daytona Beach, FL 32117-4611
Phone: 3862539391

MAJESTIC BEHAVIORAL SERVICES (NPI# 1245620327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245620327
Entity Type Organization
Organization Name MAJESTIC BEHAVIORAL SERVICES
Practice Address 1057 Mason Ave
Daytona Beach
FL 32117-4611
Practice Telephone 3862539391
Practice Fax Number 3862539391
Mailing Telephone 3862539391
Mailing Fax Number 3862539391
Enumeration Date 2015-01-28
Last Update Date 2015-01-28
Authorized Official Name MS. LA TOYA SHARNETT GREGORY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3862539391
Authorized Official Credential MBA, CCJAP, CAP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 0764AD478701 FL Agencies

Office Location

Street Address 1057 MASON AVE
City DAYTONA BEACH
State FL
Zip Code 32117-4611

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992350409 Erin Selfridge Pharmacist 1500 Beville Rd #300, Daytona Beach, FL 32117 2019-08-02
1881185494 Wellspring Health, LLC Chiropractor 701 Ridgewood Ave, Holly Hills, FL 32117 2018-05-21
1780172791 L & L Db, LLC Clinic/Center 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 2018-04-25
1154837789 Brittany Nikolow Nurse Practitioner 1717 N. Clyde Morris, Daytona Beach, FL 32117 2017-12-19
1205356946 Alejandro Andre Pabon Rodriguez Nurse Anesthetist, Certified Registered Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 2017-06-23
1316492135 Ann Van Herck Physical Therapist 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 2016-08-22
1952784779 Kathryn Brenna Copley Nurse Practitioner 1890 Lpga Blvd., Daytona Beach, FL 32117 2015-06-30
1053719559 Alicia Graham Case Manager/Care Coordinator 1570 Megan Bay Circle, Holly Hill, FL 32117 2014-12-15
1578974440 Halifax Senior Care Inc Clinic/Center 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 2014-05-14
1013345883 Kist Alf, Inc Assisted Living Facility 1516 Carmen Avenue, Daytona Beach, FL 32117 2013-10-14
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144711334 Pediatric Aba 9 Inc Community/Behavioral Health 200 S Beach St Ste 204, Daytona Beach, FL 32114-4404 2018-05-23
1467805465 Ocean Road LLC Community/Behavioral Health 3520 W International Speedway Blvd, Daytona Beach, FL 32124-1026 2016-07-14
1750771622 Embridge Counseling Services Community/Behavioral Health 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 2015-01-30
1942536941 Therapeutic Foundations Community/Behavioral Health 1181 Dal Maso Dr, Daytona Beach, FL 32117-4109 2009-10-26
1861638827 Strategies, Inc. Behavior Analysis & Therapeutic Services Community/Behavioral Health 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 2008-12-22
1780754747 Coaching Behavioral Alternatives Inc Community/Behavioral Health 615 Riverview Blvd, Daytona Beach, FL 32118-3840 2006-11-08
1750369666 Sma Healthcare Inc Community/Behavioral Health 1150 Red John Road, Daytona Beach, FL 32124-1016 2006-01-03
1164030532 Easterseals Northeast Central Florida, Inc. Community/Behavioral Health 1219 Dunn Ave, Daytona Beach, FL 32114-2405 2020-07-21
1649662198 Halifax Behavioral Services Community/Behavioral Health 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 2015-02-20
1376974881 The Helping Hand of Tomorrow Inc. Community/Behavioral Health 259 Bill France Blvd, Suite 200, Daytona Beach, FL 32114-1316 2013-12-09
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Competitor

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City DAYTONA BEACH
Zip Code 32117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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