Provider Demographics
NPI:1962257311
Name:SKYE PSYCHIATRIC HEALTH CENTER
Entity type:Organization
Organization Name:SKYE PSYCHIATRIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:407-744-7610
Mailing Address - Street 1:1016 CORETTO AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6371
Mailing Address - Country:US
Mailing Address - Phone:407-744-7610
Mailing Address - Fax:445-800-8593
Practice Address - Street 1:1016 CORETTO AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6371
Practice Address - Country:US
Practice Address - Phone:813-384-8138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty