Organization
BLUEWATERS COUNSELING AND COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GODFREY LPC (OWNER)
(334) 792-6736
Entity
Organization
Contact information
Practice address
256 HONEYSUCKLE RD STE 2, DOTHAN, AL 36305-1168
(334) 792-6736
Mailing address
256 HONEYSUCKLE RD STE 2, DOTHAN, AL 36305-1168
(334) 792-6736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-99810
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/14/2019
Last updated
01/14/2019
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