Provider Demographics
NPI:1962954156
Name:ACADEMY HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:ACADEMY HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-910-4954
Mailing Address - Street 1:1650 S DIXIE HWY
Mailing Address - Street 2:#203
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7462
Mailing Address - Country:US
Mailing Address - Phone:305-725-8447
Mailing Address - Fax:
Practice Address - Street 1:525 10TH ST
Practice Address - Street 2:SUITE 501, 503, 507
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-3187
Practice Address - Country:US
Practice Address - Phone:305-725-8447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0405X
FL5001324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility