Healthcare Provider Details

I. General information

NPI: 1871402651
Provider Name (Legal Business Name): SALT AND STEEL COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 FAWN RUN E
FREEPORT FL
32439-4508
US

IV. Provider business mailing address

95 FAWN RUN E
FREEPORT FL
32439-4508
US

V. Phone/Fax

Practice location:
  • Phone: 805-895-1419
  • Fax: 850-203-4287
Mailing address:
  • Phone: 805-895-1419
  • Fax: 850-203-4287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JULIE JACKSON
Title or Position: OWNER
Credential: LCSW
Phone: 805-895-1419