MERIDIAN BEHAVIORAL HEALTHCARE, INC. OF LAKE CITY (NPI# 1356514954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356514954 |
| Entity Type | Organization |
| Organization Name | MERIDIAN BEHAVIORAL HEALTHCARE, INC. OF LAKE CITY |
| Practice Address |
439 Sw Michigan St Lake City FL 32025-0440 |
| Practice Telephone | 3523745600 |
| Mailing Telephone | 3523745600 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | DR. MARGARITA LABARTA (PRESIDENT/CEO) |
| Authorized Official Telephone | 3523745600 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | MERIDIAN BEHAVIORAL HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
439 SW MICHIGAN ST |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-0440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249360 | Anton Frans Kootte | Social Worker | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2006-01-11 |
| 1689275216 | Shawnta Walker | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-11-02 |
| 1790384287 | Stormy B Waldron | Registered Nurse | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-26 |
| 1639778038 | Tyesha L Foster | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-19 |
| 1831797919 | Sylvia Vg Youngblood | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-12 |
| 1831797034 | Brittany L Ford | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-12 |
| 1063019909 | Sade Debra Law | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-05 |
| 1184231060 | Jennifer P Moon | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-09-25 |
| 1326653833 | Aloralee D Avery | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-09-11 |
| 1225641236 | Jalisa D Middleton | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336562677 | Henry and Rilla White Youth Foundation, Inc. | Case Management | 1531 Sw Commercial Gln, Lake City, FL 32025-0454 | 2014-01-22 |
| 1952303737 | The Henry & Rilla White Youth Foundation Inc | Case Management | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2005-08-11 |
| 1104462035 | Nesbitt's Medical Solutions, LLC | Case Management | 119 N Mcallister St, Lake City, SC 29560-2421 | 2019-11-26 |
| 1154786077 | Nafashia Hyche | Case Management | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336113 | Health Sunshine Wellness Corp | Case Management | 3525 Nw 7th St Ste 1a, Miami, FL 33125-4015 | 2020-11-06 |
| 1821699216 | Eligibolt LLC | Case Management | 1457 E Bexley Park Dr, Delray Beach, FL 33445-3543 | 2020-11-03 |
| 1457951030 | Best Behavioral Health Case Management Services | Case Management | 753 Ne 79th St Unit Cu-2, Miami, FL 33138-4711 | 2020-10-31 |
| 1316547169 | Miguel F Perez Mba & Associates LLC | Case Management | 4995 Nw 72nd Ave Ste 400, Miami, FL 33166-5643 | 2020-10-30 |
| 1518567551 | Sandra Ivette Rivera Sr. | Case Management | 7315 Kaha St Unit 344, Orlando, FL 32822-5684 | 2020-10-28 |
| 1831799030 | Sunset Case Management Service Corp | Case Management | 4238 Hollywood Blvd Ste 202, Hollywood, FL 33021-6600 | 2020-10-27 |
| 1306446612 | Sunrise Medical Wellness LLC | Case Management | 1761 W Hillsboro Blvd Ste 403, Deerfield Beach, FL 33442-1563 | 2020-10-27 |
| 1346849585 | Yasel Carballo Camero | Case Management | 5590 W 20th Ave Ste 400, Hialeah, FL 33016-7062 | 2020-10-20 |
| 1396344628 | Julio Cuellar | Case Management | 12905 Sw 42nd St Ste 209, Miami, FL 33175-2912 | 2020-10-19 |
| 1437757911 | Aristides Marcial Gomez | Case Management | 10135 Nw 127th St, Hialeah Gardens, FL 33018-7438 | 2020-10-15 |
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| 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.