BAYOU WELLNESS LLC NPI 1083096036

NPI Information

NPI: 1083096036
Provider Name: BAYOU WELLNESS, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
69 BAY BRIDGE DR
SUITE H
GULF BREEZE, FL
ZIP 32561
Phone: (850) 324-7912
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BAYOU WELLNESS, LLC is a mental health counselor in Gulf Breeze, FL. BAYOU WELLNESS, LLC NPI is 1083096036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

69 BAY BRIDGE DR
SUITE H
GULF BREEZE, FL
ZIP 32561-468
Phone: (850) 324-7912

The provider's authorized official is Andrea Burks .
The authorized official title is Owner and has the following contact phone number (850) 324-7912.

The enumeration date for this NPI number is 6/26/2015 and was last updated on 6/26/2015.

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
1	101YM0800X	Counselor	Mental Health	MH12035	FLORIDA	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

NPI Synchronization or Removal

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