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Organization
GULF COAST THERAPY GROUP, LLC
Active
Organization
GULF COAST THERAPY GROUP, LLC
Active
Other names
Gulf Coast Therapy Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA O'HARA (OWNER)
(850) 261-0444
Entity
Organization
Contact information
Practice address
905 N NAVY BLVD, PENSACOLA, FL 32507-1274
(850) 261-0444
(850) 760-0838
Mailing address
905 N NAVY BLVD, PENSACOLA, FL 32507-1274
(850) 261-0444
(850) 760-0838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275944040
NPI
FL
Enumeration date
03/14/2022
Last updated
03/14/2022
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