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BAYSIDE NEUROTHERAPY LLC NPI 1043785926


NPI Information

NPI: 1043785926
Provider Name: BAYSIDE NEUROTHERAPY, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1022 W 23RD ST STE 530
PANAMA CITY, FL
ZIP 32405
Phone: (850) 541-8520
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BAYSIDE NEUROTHERAPY, LLC is a mental health (including community mental health center) clinic center in Panama City, FL. BAYSIDE NEUROTHERAPY, LLC NPI is 1043785926. The provider is registered as an organization entity type.

The provider's business location address is:

1022 W 23RD ST STE 530
PANAMA CITY, FL
ZIP 32405-688
Phone: (850) 541-8520
Fax: (850) 541-9928

The provider's authorized official is Cynthia Leigh Wilson .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (850) 541-8520.

The enumeration date for this NPI number is 10/8/2018 and was last updated on 10/8/2018.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.