White Sands Counseling Center | |
9511 Holsberry Rd Ste B1 Pensacola FL 32534-1320 | |
(850) 525-2551 | |
Not Available |
Full Name | White Sands Counseling Center |
---|---|
Speciality | Social Worker - Clinical |
Location | 9511 Holsberry Rd Ste B1, Pensacola, Florida |
Authorized Official Name and Position | Joseph R Dutra (PARTNER) |
Authorized Official Contact | 8505252551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
White Sands Counseling Center 9511 Holsberry Rd Ste B1 Pensacola FL 32534-1320 Ph: (850) 525-2551 | White Sands Counseling Center 9511 Holsberry Rd Ste B1 Pensacola FL 32534-1320 Ph: (850) 525-2551 |
NPI Number | 1952874349 |
---|---|
Provider Enumeration Date | 01/08/2019 |
Last Update Date | 05/13/2020 |
Certification Date | 05/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952874349 | NPI | - | NPPES |
1750722674 | Other | FL | NPI |
HU042Y | Other | FL | MEDICARE |
016112400 | Medicaid | FL | |
08RBR | Other | FL | BCBS PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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