Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Barry Brody PHD LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1780072512

Barry Brody PHD LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

871 SW State Road 47
Lake City, FL 32025-0433
Phone: (386) 755-1720
Fax: (386) 754-1325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence MT983 (FL)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1780072512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Brody — Manager-Member · (386) 755-1720
Other names Dr. Brody Llc
NPI enumeratedJanuary 1, 2015
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing address871 Sw State Road 47, Lake City, FL 32025-0433

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