MEDICARE: BEVERLY DIANE VCHULEK MS,MA, LMHC

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
1	101YM0800X	Mental Health Counselor	MH00003448	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MH00003448	OTHER	FL	LICENSE NUMBER

General Provider Information

NPI Number	:	1326137043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY DIANE VCHULEK MS,MA, LMHC

Provider Business Mailing Address
First Line	:	3510 CHIEF MATE DR
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32506-9688
Country	:	US
Telephone Number	:	850-637-3986
Fax Number	:	850-637-1178

Provider Business Practice Location Address
First Line	:	2068 HEALTH CARE AVE
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-2901
Country	:	US
Telephone Number	:	850-791-0885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	12/07/2025

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