# HEW HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275321945
- **Authorized official:** MATTHEW KOUCKY (CEO)
- **Authorized official phone:** (850) 812-0032

## Contact information

- **Practice address:** 4507 FURLING LN STE 104, DESTIN, FL 32541-5341
- **Practice address phone:** (854) 216-8289
- **Practice address fax:** (843) 944-6006
- **Mailing address:** 4507 FURLING LN STE 104, DESTIN, FL 32541-5341
- **Mailing address phone:** (854) 216-8289
- **Mailing address fax:** (843) 944-6006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | — | — | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207VB0002X | Obesity Medicine (Obstetrics & Gynecology) Physician | — | — | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | — | — | — |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/30/2025
- **Last updated:** 05/01/2025