Emerald Shores Counseling Llc | |
4300 Bayou Blvd Ste 21 Pensacola FL 32503-2671 | |
(850) 816-6510 | |
(850) 361-3220 |
Full Name | Emerald Shores Counseling Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4300 Bayou Blvd Ste 21, Pensacola, Florida |
Authorized Official Name and Position | Joseph Boarts (OWNER/THERAPIST) |
Authorized Official Contact | 8508166510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Emerald Shores Counseling Llc 4300 Bayou Blvd Ste 21 Pensacola FL 32503-2671 Ph: (850) 816-6510 | Emerald Shores Counseling Llc 4300 Bayou Blvd Ste 21 Pensacola FL 32503-2671 Ph: (850) 816-6510 |
NPI Number | 1427554625 |
---|---|
Provider Enumeration Date | 04/05/2018 |
Last Update Date | 04/05/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427554625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH14563 (Florida) | Primary |
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