Provider Demographics
NPI:1457035008
Name:DOVE BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:DOVE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSSIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-445-3683
Mailing Address - Street 1:514 NE 16TH PL UNIT 4-5
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2213
Mailing Address - Country:US
Mailing Address - Phone:239-445-3683
Mailing Address - Fax:
Practice Address - Street 1:514 NE 16TH PL UNIT 4-5
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2213
Practice Address - Country:US
Practice Address - Phone:239-445-3683
Practice Address - Fax:239-829-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)