Organization
BAYOU WELLNESS OF NORTHWEST FLORIDA, LLC
Active
Other names
Bayou Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BURKS LMHC (COUNSELOR, OWNER)
(850) 324-7912
Entity
Organization
Contact information
Practice address
17 W MAXWELL ST, PENSACOLA, FL 32501-1717
(850) 324-7912
(850) 270-7821
Mailing address
17 W MAXWELL ST, PENSACOLA, FL 32501-1717
(850) 324-7912
(850) 270-7821
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH12035
FL
Other
Enumeration date
08/02/2018
Last updated
12/01/2023
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