Organization · Type 2 NPI

Adly Thebaud,md,pa

Community/Behavioral Health Agency · Orange City, FL

NPI number 1417018482 Active

Practice location

2725 Rebecca Ln Ste 107
Orange City, FL 32763-8350

Fax (386) 775-0738

Specialties and licenses

Taxonomy	Code	License
Child & Adolescent Psychiatry Physician	2084P0804X	ME60436 (FL)
Community/Behavioral Health Agency Primary	251S00000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	ARNP 9410846 (FL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

5 other providers at this address

Other community/behavioral health agency providers in Orange City

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NPI record

NPI: 1417018482
Entity type: Organization (Type 2)
Issued: Dec 13, 2006
Last updated: Jun 10, 2026
Status: Active

Other names

<unavail>
Family Psychiatry Services · doing business as
Family Psychiatry Services · doing business as

Authorized official

Adly Thebaud
Owner/provider
(386) 775-0736

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417018482

Adly Thebaud,md,pa's National Provider Identifier is 1417018482, issued on Dec 13, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Orange City, FL. The record was last updated on Jun 10, 2026.