Provider Demographics
NPI:1285097444
Name:VIAMAR HEALTH INSTITUTES OF THE PALM BEACHES, LLC
Entity type:Organization
Organization Name:VIAMAR HEALTH INSTITUTES OF THE PALM BEACHES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLINEDINST
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CEDS
Authorized Official - Phone:602-370-0686
Mailing Address - Street 1:560 VILLAGE BLVD STE 365
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1984
Mailing Address - Country:US
Mailing Address - Phone:561-293-4677
Mailing Address - Fax:561-425-8211
Practice Address - Street 1:560 VILLAGE BLVD
Practice Address - Street 2:STE 365
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1945
Practice Address - Country:US
Practice Address - Phone:561-293-4677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No283Q00000XHospitalsPsychiatric Hospital
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility