WILLOW HARBOR THERAPY CENTER LLC NPI 1295244127

NPI Information

NPI: 1295244127
Provider Name: WILLOW HARBOR THERAPY CENTER, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1010 N 12TH AVE STE 321
PENSACOLA, FL
ZIP 32501
Phone: (850) 776-6297
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WILLOW HARBOR THERAPY CENTER, LLC is a mental health counselor in Pensacola, FL. WILLOW HARBOR THERAPY CENTER, LLC NPI is 1295244127. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1010 N 12TH AVE STE 321
PENSACOLA, FL
ZIP 32501-370
Phone: (850) 776-6297

The provider's authorized official is Sabrina Irene Conklin .
The authorized official title is Ceo/owner and has the following contact phone number (850) 776-6297.

The enumeration date for this NPI number is 9/22/2017 and was last updated on 7/21/2022.

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	SW12317	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: 5/5/2024

NPI Synchronization or Removal

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