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JOURNEYPURE PANHANDLE MEDICAL GROUP LLC NPI 1033567268


NPI Information

NPI: 1033567268
Provider Name: JOURNEYPURE PANHANDLE MEDICAL GROUP LLC
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
22219 PANAMA CITY BEACH PKWY
PANAMA CITY, FL
ZIP 32413
Phone: (850) 249-4300
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JOURNEYPURE PANHANDLE MEDICAL GROUP LLC is an addiction (substance use disorder) psychologist in Panama City, FL. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. JOURNEYPURE PANHANDLE MEDICAL GROUP LLC NPI is 1033567268. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22219 PANAMA CITY BEACH PKWY
PANAMA CITY, FL
ZIP 32413-227
Phone: (850) 249-4300

The provider's authorized official is Kayla Deckert .
The authorized official title is Director Of Contracting and has the following contact phone number (615) 519-4156.

The enumeration date for this NPI number is 5/27/2016 and was last updated on 1/12/2021.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)59359FLORIDAYes

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: 5/5/2024

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