DIVERSIFIED BEHAVIORAL HEALTH SOLUTIONS (NPI# 1467469890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467469890 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED BEHAVIORAL HEALTH SOLUTIONS |
| Other Organization Name | CENTRAL FLORIDA YOUTH SERVICES |
| Practice Address |
4705 Us Highway 17 N Bowling Green FL 33834-5004 |
| Mailing Address |
Po Box 369 Bowling Green FL 33834 |
| Practice Telephone | 8633752000 |
| Practice Fax Number | 8633759929 |
| Mailing Telephone | 8633752000 |
| Mailing Fax Number | 8633759929 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRUCE MANSSUER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8637817452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Central Florida Youth Services | Former Legal Business Name - Organization |
| Street Address |
4705 US HIGHWAY 17 N |
| City | BOWLING GREEN |
| State | FL |
| Zip Code | 33834-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891957775 | Connie S Evans | Counselor | 109 Pineapple St E, Bowling Green, FL 33834-1039 | 2008-07-01 |
| 1275523565 | Joyce Oliver-fulse | Speech-Language Pathologist | 4831 Dixiana Dr, Bowling Green, FL 33834-5050 | 2005-10-27 |
| 1699958603 | J. Oliver Speech Pathology Services, Inc. | Early Intervention Provider Agency | 4831 Dixiana Dr, Bowling Green, FL 33834-5050 | 2007-12-12 |
| 1225309297 | Raul P. Palomado, Md Pa | Clinic/Center | 302 W Main St, Bowling Green, FL 33834-5053 | 2012-01-23 |
| 1669755195 | Frontline Health Services LLC | Pharmacy | 304 W Main St, Bowling Green, FL 33834-5053 | 2011-09-21 |
| 1922043439 | Raul P Palomado | General Practice | 302 W Main St, Bowling Green, FL 33834-5053 | 2006-06-18 |
| 1285914150 | Epca, Inc | Clinic/Center | 5207 Mason Dixon Ave, Bowling Green, FL 33834-5095 | 2011-08-24 |
| 1366724486 | Epca, Inc | Substance Abuse Rehabilitation Facility | 5207 Mason Dixon Ave, Bowling Green, FL 33834-5095 | 2011-09-14 |
| 1255730735 | Healthstat Onsite Clinic- Mosaic Bowling Green | Preventive Medicine | 6209 N County Road 663, Bowling Green, FL 33834-6807 | 2014-08-20 |
| 1013903996 | Jose Ricardo Burgos Polo | Dentist | 6901 State Road 62, Bowling Green, FL 33834-8976 | 2005-09-26 |
| Find all providers in zip 33834 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957890 | Ashleigh Rashell Emberton | Counselor | 1300 Andrea St Ste 204, Bowling Green, KY 42104-3382 | 2020-06-19 |
| 1467099135 | Aspire Mentoring Foundation LLC | Counselor | 1501 Normalview Dr, Bowling Green, KY 42101-2834 | 2019-12-02 |
| 1336706902 | Alice J Beckner | Counselor | 624 Oaklawn Way, Bowling Green, KY 42104-3867 | 2019-05-20 |
| 1083279715 | Telehealth Counseling of Ky, LLC | Counselor | 429 Adalynn Cir, Bowling Green, KY 42104-0001 | 2019-05-08 |
| 1174003032 | Leah Marie Gomez | Counselor | 221 S Church St Ste 200, Bowling Green, OH 43402-2816 | 2018-08-20 |
| 1306397476 | Nnennaya Njoku | Counselor | 299 Westwood Ave, Bowling Green, KY 42103-9066 | 2016-10-24 |
| 1760864060 | Catherine Crawford | Counselor | 1084 S Main St Ste A, Bowling Green, OH 43402-4740 | 2015-06-23 |
| 1629491576 | Reba Mcginnis | Counselor | 918 State St, 2nd Floor, Bowling Green, KY 42101-2233 | 2014-01-29 |
| 1922442367 | Mary Howard Higgins | Counselor | 424 Hammett Hill Rd, Bowling Green, KY 42101-8244 | 2013-04-27 |
| 1740585082 | Sfreeman Inc. | Counselor | 724 E. 11th Street, Bowling Green, KY 42101-2508 | 2011-01-18 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 33834 |
Please comment or provide details below to improve the information on DIVERSIFIED BEHAVIORAL HEALTH SOLUTIONS.
| 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.