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Organization

REAL LIFE COUNSELING, INC

Active
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Organization

REAL LIFE COUNSELING, INC

Active
Parent organization
MH7039
Other names
GREGORY E GAST, MS LMHC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MH7039
Authorized official
MR. GREGORY E GAST MS, LMHC (PRESIDENT)
(850) 271-8258
Entity
Organization

Contact information

Practice address
221 E 23RD ST, SUITE F, PANAMA CITY, FL 32405-7612
(850) 271-8258
Mailing address
221 E 23RD ST, SUITE F, PANAMA CITY, FL 32405-7612
(850) 271-8258

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH7039
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1164745352
NPI
01
MH7039
FL LICENSE
FL
01
ZO26D
BCBS
FL
Enumeration date
03/08/2011
Last updated
03/08/2011
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