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Organization
BAYOU WELLNESS OF NORTHWEST FLORIDA, LLC
Active
Organization
BAYOU WELLNESS OF NORTHWEST FLORIDA, LLC
Active
Other names
Bayou Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BURKS LMHC (COUNSELOR, OWNER)
(850) 324-7912
Entity
Organization
Contact information
Practice address
17 W MAXWELL ST, PENSACOLA, FL 32501-1717
(850) 324-7912
(850) 270-7821
Mailing address
17 W MAXWELL ST, PENSACOLA, FL 32501-1717
(850) 324-7912
(850) 270-7821
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH12035
FL
Other
Enumeration date
08/02/2018
Last updated
12/01/2023
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