PENSACOLA COUNSELOR LLC NPI 1407220494

NPI Information

NPI: 1407220494
Provider Name: PENSACOLA COUNSELOR LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4300 BAYOU BLVD
SUITE 21
PENSACOLA, FL
ZIP 32503
Phone: (850) 462-3595
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PENSACOLA COUNSELOR LLC is a mental health counselor in Pensacola, FL. PENSACOLA COUNSELOR LLC NPI is 1407220494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4300 BAYOU BLVD
SUITE 21
PENSACOLA, FL
ZIP 32503-949
Phone: (850) 462-3595
Fax: (850) 607-2771

The provider's authorized official is Regan Hager .
The authorized official title is Owner/president and has the following contact phone number (850) 462-3595.

The enumeration date for this NPI number is 11/14/2015 and was last updated on 11/14/2015.

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	MH12078	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	009812400	MEDICAID	FLORIDA
2	009764400	MEDICAID	FLORIDA

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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