institution
Pensacola Counselor Llc
Mental Health Counselor in Pensacola, Florida
NPI 1407220494

Pensacola Counselor Llc is a Mental Health Counselor based in Pensacola, FL and is specialized in Mental Health. Pensacola Counselor Llc practices in Pensacola, FL. The NPI Number for Pensacola Counselor Llc is 1407220494 and holds a License No. MH12078 (Florida).

The current practice location address for Pensacola Counselor Llc is 4300 Bayou Blvd, Pensacola, FL and can be reached out via phone at 850-462-3595 and via fax at 850-607-2771.

Location: 4300 Bayou Blvd, Pensacola, FL, 32503-1949
institution
Provider Profile Details
NPI Number
1407220494
Provider Name
Pensacola Counselor Llc
Credential
Provider Entity Type
Organization
Address
4300 Bayou Blvd, Pensacola, FL, 32503-1949
Phone Number
850-462-3595
Fax Number
850-607-2771
Provider Enumeration Date
11/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009764400 05 FL
009812400 05 FL
institution
Provider Business Practice Location Address Details
Address
4300 Bayou Blvd
City
State
Zip
32503-1949
Phone Number
850-462-3595
Fax Number
850-607-2771
person
Provider Business Mailing Address Details
Address
4300 Bayou Blvd
City
State
Zip
32503-1949
Phone Number
850-462-3595
Fax Number
850-607-2771
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH12078 (Florida)
Definition
Definition to come...
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