FOGARTY WELLNESS LLC NPI 1265044499

NPI Information

NPI: 1265044499
Provider Name: FOGARTY WELLNESS LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
114 AIRPORT RD STE A
PANAMA CITY, FL
ZIP 32405
Phone: (850) 832-3173
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FOGARTY WELLNESS LLC is a mental health counselor in Panama City, FL. FOGARTY WELLNESS LLC NPI is 1265044499. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

114 AIRPORT RD STE A
PANAMA CITY, FL
ZIP 32405-738
Phone: (850) 832-3173

The provider's authorized official is Kristy Fogarty .
The authorized official title is Owner and has the following contact phone number (850) 463-0780.

The enumeration date for this NPI number is 8/19/2020 and was last updated on 8/19/2020.

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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