EMERALD COAST PSYCHOTHERAPY LLC NPI 1316518061

NPI Information

NPI: 1316518061
Provider Name: EMERALD COAST PSYCHOTHERAPY, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
808 OVERBROOK DR
FORT WALTON BEACH, FL
ZIP 32547
Phone: (505) 417-5883
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EMERALD COAST PSYCHOTHERAPY, LLC is a mental health counselor in Fort Walton Beach, FL. EMERALD COAST PSYCHOTHERAPY, LLC NPI is 1316518061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

808 OVERBROOK DR
FORT WALTON BEACH, FL
ZIP 32547-307
Phone: (505) 417-5883

The provider's authorized official is Courtney K Howe .
The authorized official title is Mental Health Counselor and has the following contact phone number (505) 417-5883.

The enumeration date for this NPI number is 7/4/2021 and was last updated on 7/4/2021.

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: 5/5/2024

NPI Synchronization or Removal

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