Organization
GULF COAST THERAPY AND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA KAZAKOS (SOLE MEMBER)
(850) 483-1422
Entity
Organization
Contact information
Practice address
112 W CERVANTES ST, PENSACOLA, FL 32501-3128
(850) 466-3200
(850) 466-3203
Mailing address
112 W CERVANTES ST, PENSACOLA, FL 32501-3128
(850) 466-3200
(850) 466-3203
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW5281
FL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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