Organization · NPI-2

Behealthy Counseling

Counselor, Mental Health · Crestview, FL

NPI number1235707472

StatusActive

Last updated in NPPESMar 31, 2023

Details

NPI: 1235707472
Entity type: Organization (NPI-2)
Legal business name: Behealthy Counseling
Organization subpart: No
Enumeration date: Jun 14, 2021
Certification date: Mar 31, 2023
Last updated: Mar 31, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
101Y00000X	Counselor	–	–
1041C0700X	Social Worker, Clinical	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–

Other names

Ryan Bullard, Lcsw (Other Name)

Practice location

128 John King Rd Ste 18
Crestview, FL 32539-5731

Phone 850-347-5457 · Fax 850-779-3117

Mailing address

128 John King Rd Ste 18
Crestview, FL 32539-5731

Phone 850-347-5457 · Fax 850-779-3117

Authorized official

Ryan Bullard
Ceo
8503475457

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