MEDICARE: COZY COUCH COUNSELING LLC

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

General Provider Information

NPI Number	:	1356144075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COZY COUCH COUNSELING LLC

Provider Business Mailing Address
First Line	:	1135 GREEN HILLS RD
Second Line	:
City	:	CANTONMENT
State	:	FL
Zip	:	32533-8394
Country	:	US
Telephone Number	:	609-781-2671
Fax Number	:

Provider Business Practice Location Address
First Line	:	91 W HOOD DR
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32534-3019
Country	:	US
Telephone Number	:	850-972-8141
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMBER BIELLO-TAYLOR
Credential	:	LCSW
Telephone Number	:	609-781-2671

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	04/01/2025

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