The Pop-In Counselor
Community/Behavioral Health in Crestview, FL. Organization (NPI-2).
NPI number1932897766
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1932897766
- Entity type
- Organization (NPI-2)
- Legal business name
- The Pop-In Counselor
- Organization subpart
- Yes
- Enumeration date
- Apr 28, 2023
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- The Pop-In Counselor (Doing Business As)
Practice location
550 N Main StCrestview, FL 32536-3506
Phone 850-238-7131
Mailing address
550 N Main StCrestview, FL 32536-3506
Phone 850-238-7131
Authorized official
Patricia Cross
Owner
8502387131
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