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NPI Code Detail

MEDICARE: BEFORE, BEYOND & NOW: PROFESSIONAL COUNSELING

MEDICARE: BEFORE, BEYOND & NOW: PROFESSIONAL COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyMH9330FL

General Provider Information

NPI Number : 1295996072
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEFORE, BEYOND & NOW: PROFESSIONAL COUNSELING
Provider Business Mailing Address
First Line : 1150 N 12TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3308
Country : US
Telephone Number : 850-208-4015
Fax Number :
Provider Business Practice Location Address
First Line : 1150 N 12TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3308
Country : US
Telephone Number : 850-208-4015
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MS. SHANNON N ARSENAULT
Credential : M.A.
Telephone Number : 850-208-4015
Provider Enumeration Date : 06/24/2008
Last Update Date : 06/24/2008

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Directions to “BEFORE, BEYOND & NOW: PROFESSIONAL COUNSELING ” Practice Location

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