# BLUEWATER BEHAVIORAL HEALTH INC

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

## Provider details

- **NPI number:** 1922562628
- **Authorized official:** LEIGH GAYLE POWERS DNP, APRN, PMHNP-BC (OWNER/PROVIDER)
- **Authorized official phone:** (850) 797-2598

## Contact information

- **Practice address:** 4400 E HIGHWAY 20 STE 208, NICEVILLE, FL 32578-9735
- **Practice address phone:** (575) 520-1230
- **Practice address fax:** (773) 492-8765
- **Mailing address:** 4400 E HIGHWAY 20 STE 208, NICEVILLE, FL 32578-9735
- **Mailing address phone:** (850) 797-2598
- **Mailing address fax:** (773) 492-8765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2019
- **Last updated:** 06/05/2026