CREEKSIDE PSYCHIATRIC CENTER PA NPI 1225330897

NPI Information

NPI: 1225330897
Provider Name: CREEKSIDE PSYCHIATRIC CENTER PA
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5190 BAYOU BLVD STE 6
PENSACOLA, FL
ZIP 32503
Phone: (850) 476-0977
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CREEKSIDE PSYCHIATRIC CENTER PA is a mental health counselor in Pensacola, FL. CREEKSIDE PSYCHIATRIC CENTER PA NPI is 1225330897. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5190 BAYOU BLVD STE 6
PENSACOLA, FL
ZIP 32503-162
Phone: (850) 476-0977
Fax: (850) 476-2558

The provider's authorized official is Lisa Ann Weekley .
The authorized official title is Office Manager and has the following contact phone number (850) 476-0977.

The enumeration date for this NPI number is 12/2/2010 and was last updated on 12/2/2010.

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			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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