Agency Provider Services for Independence LLC
Agency Provider Services for Independence LLC is a Community/Behavioral Health Agency in Palm Bay, Florida. Licensed in Florida. Registered with an NPI since 2012.
- Licensed in
- FL
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1418 Norman St NE UNIT#1Palm Bay, FL 32907-2267
Phone: (321) 890-7014
Fax: (321) 722-3760
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence L11000062706 (FL) |
|---|
Record details
| NPI number | 1891051132 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Deannalynn Cenkner — President/Owner · (321) 890-7014 |
| NPI enumerated | April 11, 2012 |
| Last updated in NPPES | April 11, 2012 |
| Mailing address | Po Box 101369, Palm Bay, FL 32910-1369 |
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Changes
1156 Lamplighter Dr NW, Palm Bay, FL 32907-7936 · (321) 591-3248