Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
CHAUTAUQUA OFFICES OF PSYCHOTHERAPY AND EVALUATION, INC.
Active
Organization
CHAUTAUQUA OFFICES OF PSYCHOTHERAPY AND EVALUATION, INC.
Active
Other names
C.O.P.E. Center
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL R GILLIS LCSW BCD (CHIEF EXECUTIVE OFFICER)
(850) 892-8045
Entity
Organization
Contact information
Practice address
3686 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-8463
(850) 892-8045
(850) 892-8039
Mailing address
3686 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-8463
(850) 892-8045
(850) 892-8039
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0166AD9145-01
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060369400
—
FL
01
—
77467
BC/BS
FL
Enumeration date
10/03/2005
Last updated
06/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up