Provider Demographics
NPI:1962275016
Name:SUNLY BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:SUNLY BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNA
Authorized Official - Middle Name:LOLITA
Authorized Official - Last Name:UZUN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:352-843-4477
Mailing Address - Street 1:2801 SW COLLEGE RD STE 17
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4447
Mailing Address - Country:US
Mailing Address - Phone:352-843-4477
Mailing Address - Fax:352-629-7862
Practice Address - Street 1:2801 SW COLLEGE RD STE 17
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4447
Practice Address - Country:US
Practice Address - Phone:352-843-4477
Practice Address - Fax:352-629-7862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty