Organization
TMS OF EMERALD COAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY MCCLELLAN (OWNER)
(801) 245-0577
Entity
Organization
Contact information
Practice address
403 HOLLYWOOD BLVD NW STE 103A, FORT WALTON BEACH, FL 32548-4531
(801) 245-0577
Mailing address
403 HOLLYWOOD BLVD NW STE 103A, FORT WALTON BEACH, FL 32548-4531
(801) 245-0577
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
11/20/2024
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