Organization
BAYOU WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA BURKS LMHC (OWNER)
(850) 324-7912
Entity
Organization
Contact information
Practice address
69 BAY BRIDGE DR, SUITE H, GULF BREEZE, FL 32561-4468
(850) 324-7912
Mailing address
69 BAY BRIDGE DR, SUITE H, GULF BREEZE, FL 32561-4468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12035
FL
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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