SENIOR LIVING BEHAVIORAL HEALTH, PLLC (NPI# 1346721917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346721917 |
| Entity Type | Organization |
| Organization Name | SENIOR LIVING BEHAVIORAL HEALTH, PLLC |
| Practice Address |
300 Cabana Cay Cir Panama City Beach FL 32413-4684 |
| Mailing Address |
747 3rd Ave Fl 2 New York NY 10017-2878 |
| Practice Telephone | 5164481382 |
| Mailing Telephone | 5164481382 |
| Mailing Fax Number | 9738393653 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | BRUCE BROTTER (OWNER) |
| Authorized Official Telephone | 5164481382 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW15587 | FL | Behavioral Health & Social Service Providers |
| Street Address |
300 CABANA CAY CIR |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip Code | 32413-4684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023416161 | Amy Rebecca Robertson | Psychologist | 21903 Panama City Beach Pkwy Psychfittness, Panama City Beach, FL 32413 | 2014-12-05 |
| 1326454786 | Journeypure Panhandle LLC | Substance Abuse Rehabilitation Facility | 22219 Panama City Beack Pkwy, Panama City Beach, FL 32413 | 2014-07-07 |
| 1588087985 | The Sobriety Center LLC | Clinic/Center | 221 San Vincente St, Panama City Beach, FL 32413 | 2014-01-22 |
| 1588904593 | Wal-mart Stores East Lp | Technician/Technologist | 15495 Panama City Beach Pky, Panama Beach City, FL 32413 | 2013-02-28 |
| 1518178334 | Kennon Dental Associates Pa | Dentist | 2309 St Andrews, #b, Panama City, FL 32413 | 2007-05-24 |
| 1912050162 | Medical Services of Northwest Florida | Home Health | 17208 Back Beach Road, Panama City, FL 32413 | 2007-01-19 |
| 1467511840 | Frederick G Klepes Jr. | Dentist | 15450 Panama City Beach Pwky, Panama City Beach, FL 32413 | 2006-12-08 |
| 1013956572 | William Alan Woolery | Emergency Medicine | 11111 Panama City Beach Parkway, Panama City Beach, FL 32413 | 2006-06-06 |
| 1235125915 | Patsy Regina Merritt | Physical Therapist | 16201 Panama City Beach Pkwy Ste A, Panama City Beach, FL 32413 | 2005-09-27 |
| 1649716408 | Cynda St Cere | Nurse Practitioner | 23040 Panama City Beach Pkwy, Panama City Beach, FL 32413 | 2017-01-17 |
| Find all providers in zip 32413 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179158 | Andrea C Bright | Social Worker | 307 Graze Point Dr, Panama City Beach, FL 32407-2574 | 2020-06-18 |
| 1275901035 | Jennessa Hart | Social Worker | 7402 Mcelvey Rd, Panama City Beach, FL 32408-7606 | 2015-09-10 |
| 1437427994 | Erin Y. Schramm | Social Worker | 212 Oxford Ave, Panama City Beach, FL 32413-2836 | 2011-12-12 |
| 1386968287 | Shayma Rasoul Salman | Social Worker | 101 Vernon Ave Ste 387, Panama City Beach, FL 32407-7018 | 2010-03-22 |
| 1811921372 | Nancy Watson | Social Worker | 102 Twilight Bay Dr, Panama City Beach, FL 32407 | 2006-07-10 |
| 1952354052 | Elizabeth Haiman | Social Worker | 7108 Quail Hollow Dr, Panama City Beach, FL 32408-4984 | 2006-05-18 |
| 1245891704 | Dixie Allison, Lcsw, LLC | Social Worker | 7108 Quail Hollow Dr, Panama City Beach, FL 32408-4984 | 2019-06-25 |
| 1952969107 | Dixie Allison | Social Worker | 7108 Quail Hollow Dr, Panama City Beach, FL 32408-4984 | 2019-06-03 |
| 1417433616 | Edgar E Cordoba Jr. | Social Worker | 22219 Panama City Beach Pkwy, Panama City Beach, FL 32413-3227 | 2018-07-11 |
| 1740739887 | Therapeutic Outcomes, LLC | Social Worker | 17320 Panama City Beach Pkwy, Unit 209, Panama City Beach, FL 32413-2024 | 2016-09-30 |
| Find all providers in PANAMA CITY BEACH | ||||
| City | PANAMA CITY BEACH |
| Zip Code | 32413 |
Please comment or provide details below to improve the information on SENIOR LIVING BEHAVIORAL HEALTH, PLLC.
| 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.