Healthcare Provider Details

I. General information

NPI: 1871306027
Provider Name (Legal Business Name): REFRAME COUNSELING AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 N 26TH ST
MEXICO BEACH FL
32456-7102
US

IV. Provider business mailing address

102 N 26TH ST
MEXICO BEACH FL
32456-7102
US

V. Phone/Fax

Practice location:
  • Phone: 334-549-7333
  • Fax:
Mailing address:
  • Phone: 334-549-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CANDACE S BAILEY
Title or Position: OWNER
Credential: LPC, LMHC
Phone: 334-549-7333