EXIT 56 THERAPY GROUP LLC NPI 1013733799

NPI Information

  • NPI: 1013733799
  • Provider Name: EXIT 56 THERAPY GROUP LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 124 JOHN KING RD
    CRESTVIEW, FL
    ZIP 32539
  • Phone: (850) 634-6020

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NPI Details

EXIT 56 THERAPY GROUP LLC is a clinical social worker in Crestview, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. EXIT 56 THERAPY GROUP LLC NPI is 1013733799. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

124 JOHN KING RD
CRESTVIEW, FL
ZIP 32539-306
Phone: (850) 634-6020
Fax: (850) 680-6289

The provider's authorized official is Gabrielle Griffith .
The authorized official title is President and has the following contact phone number (850) 634-6020.

The enumeration date for this NPI number is 11/27/2024 and was last updated on 11/27/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
3103TS0200XPsychologistSchoolNo
41041C0700XSocial WorkerClinicalYes
5224Z00000XOccupational Therapy AssistantNo
62251P0200XPhysical TherapistPediatricsNo
7225XP0200XOccupational TherapistPediatricsNo
8235Z00000XSpeech-Language PathologistNo

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: 3/30/2025

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