Healthcare Provider Details

I. General information

NPI: 1619892270
Provider Name (Legal Business Name): EGAAL COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 N RICHARD JACKSON BLVD
PANAMA CITY BEACH FL
32407-3647
US

IV. Provider business mailing address

499 N RICHARD JACKSON BLVD
PANAMA CITY BEACH FL
32407-3647
US

V. Phone/Fax

Practice location:
  • Phone: 352-210-9876
  • Fax: 850-248-2469
Mailing address:
  • Phone: 352-210-9876
  • Fax: 850-248-2469

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: ERIN L GAAL
Title or Position: OWNER
Credential: LMHC
Phone: 352-210-9876