PPCC INC. NPI 1164747739

NPI Information

  • NPI: 1164747739
  • Provider Name: PPCC, INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 259 E OAKDALE AVE
    CRESTVIEW, FL
    ZIP 32539
  • Phone: (850) 398-5255

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NPI Details

PPCC, INC. is a mental health counselor in Crestview, FL. PPCC, INC. NPI is 1164747739. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

259 E OAKDALE AVE
CRESTVIEW, FL
ZIP 32539-547
Phone: (850) 398-5255
Fax: (850) 689-8799

The provider's authorized official is Susan M Page .
The authorized official title is President and has the following contact phone number (850) 682-1234.

The enumeration date for this NPI number is 4/7/2010 and was last updated on 5/21/2024.

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 HealthMH3244FLORIDAYes
2101YM0800XCounselorMental HealthMH3313No
3101YM0800XCounselorMental HealthMH5026FLORIDANo
4103T00000XPsychologistPY7250FLORIDANo

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: 11/21/2025

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