Organization
EMERALD COAST THERAPEUTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA D HOSTETTER LMHC (OWNER)
(850) 583-1497
Entity
Organization
Contact information
Practice address
141 MACK BAYOU LOOP STE 301, SANTA ROSA BEACH, FL 32459-7194
(850) 583-1497
Mailing address
141 MACK BAYOU LOOP STE 301, SANTA ROSA BEACH, FL 32459-7194
(850) 583-1497
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144458993
—
PA
Enumeration date
11/07/2022
Last updated
11/07/2022
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