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Organization
BLUEWATER BEHAVIORAL HEALTH INC
Active
Organization
BLUEWATER BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH GAYLE POWERS DNP, APRN, PMHNP-BC (OWNER/PROVIDER)
(850) 797-2598
Entity
Organization
Contact information
Practice address
4400 E HIGHWAY 20 STE 208, NICEVILLE, FL 32578-9735
(575) 520-1230
(773) 492-8765
Mailing address
4400 E HIGHWAY 20 STE 208, NICEVILLE, FL 32578-9735
(850) 797-2598
(773) 492-8765
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/27/2019
Last updated
06/05/2026
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