Healthcare Provider Details

I. General information

NPI: 1922430909
Provider Name (Legal Business Name): ERIN LINNE GAAL EDD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2013
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 TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC2422
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH4477
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAP2234
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: