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GULF COAST REHABILITATION SERVICES INC. NPI 1447569264


NPI Information

NPI: 1447569264
Provider Name: GULF COAST REHABILITATION SERVICES, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3825 HENDERSON BLVD
SUITE 405
TAMPA, FL
ZIP 33629
Phone: (877) 957-3422
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GULF COAST REHABILITATION SERVICES, INC. is a professional counselor in Tampa, FL. GULF COAST REHABILITATION SERVICES, INC. NPI is 1447569264. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3825 HENDERSON BLVD
SUITE 405
TAMPA, FL
ZIP 33629-037
Phone: (877) 957-3422
Fax: (877) 957-3422

The provider's authorized official is Joshua Elliott Shannon .
The authorized official title is Ceo and has the following contact phone number (877) 957-3422.

The enumeration date for this NPI number is 9/28/2010 and was last updated on 3/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalSW7468FLORIDANo
2102L00000XPsychoanalystSW7468FLORIDANo
31041C0700XSocial WorkerClinicalSW7468FLORIDANo
4101Y00000XCounselorMH11189FLORIDANo
5101YA0400XCounselorAddiction (Substance Use Disorder)5525FLORIDANo
6101YM0800XCounselorMental HealthMH11189FLORIDANo
7102L00000XPsychoanalystMH11189FLORIDANo
8103K00000XBehavior AnalystSW7468FLORIDANo
9104100000XSocial WorkerSW7468FLORIDANo
10101YA0400XCounselorAddiction (Substance Use Disorder)5552FLORIDANo
11101YP2500XCounselorProfessionalMH11189FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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