Gulf Coast Therapy Group, LLC
Counselor, Mental Health in Pensacola, FL. Organization (NPI-2).
NPI number1467100925
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1467100925
- Entity type
- Organization (NPI-2)
- Legal business name
- Gulf Coast Therapy Group, LLC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2022
- Certification date
- Mar 14, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Gulf Coast Therapy Group, LLC (Doing Business As)
Practice location
905 N Navy BlvdPensacola, FL 32507-1274
Phone 850-261-0444 · Fax 850-760-0838
Mailing address
905 N Navy BlvdPensacola, FL 32507-1274
Phone 850-261-0444 · Fax 850-760-0838
Authorized official
Lisa O'Hara
Owner
8502610444
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