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Emerald Coast Wellness Center, Llc
Adolescent and Children Mental Health Clinic/Center in Niceville, Florida
NPI 1417287855

Emerald Coast Wellness Center, Llc is an Adolescent and Children Mental Health Clinic/Center based in Niceville, FL and is specialized in Adolescent and Children Mental Health. Emerald Coast Wellness Center, Llc practices in Niceville, FL. The NPI Number for Emerald Coast Wellness Center, Llc is 1417287855 and holds a License No. (Florida).

The current practice location address for Emerald Coast Wellness Center, Llc is 138 Baywind Dr, Niceville, FL and can be reached out via phone at 850-398-4155 and via fax at 850-398-4142.

Location: 138 Baywind Dr, Niceville, FL, 32578-4800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417287855
Provider Name
Emerald Coast Wellness Center, Llc
Credential
Provider Entity Type
Organization
Address
138 Baywind Dr, Niceville, FL, 32578-4800
Phone Number
850-398-4155
Fax Number
850-398-4142
Provider Enumeration Date
01/07/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008056800 05 FL
institution
Provider Business Practice Location Address Details
Address
138 Baywind Dr
City
Niceville
State
Florida
Zip
32578-4800
Phone Number
850-398-4155
Fax Number
850-398-4142
person
Provider Business Mailing Address Details
Address
138 Baywind Dr
City
Niceville
State
Florida
Zip
32578-4800
Phone Number
850-398-4155
Fax Number
850-398-4142
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Geriatric Psychiatry
Taxonomy
2084P0805X
License No.
()
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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