1134122377 NPI number — DIRECTIONS FOR MENTAL HEALTH INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134122377 NPI number — DIRECTIONS FOR MENTAL HEALTH INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DIRECTIONS FOR MENTAL HEALTH INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134122377
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1437 S. BELCHER ROAD
Provider Second Line Business Mailing Address:
DIRECTIONS FOR MENTAL HEALTH, INC.
Provider Business Mailing Address City Name:
CLEARWATER
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33764-2829
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-524-4464
Provider Business Mailing Address Fax Number:
727-524-4474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1437 S. BELCHER ROAD
Provider Second Line Business Practice Location Address:
DIRECTIONS FOR MENTAL HEALTH, INC.
Provider Business Practice Location Address City Name:
CLEARWATER
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33764-2829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-524-4464
Provider Business Practice Location Address Fax Number:
727-524-4474
Provider Enumeration Date:
05/23/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LOTT
Authorized Official First Name:
APRIL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
727-524-4464

Provider Taxonomy Codes

  • Taxonomy code: 261QC1500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 060275201 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060275200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".