Healthcare Provider Details

I. General information

NPI: 1003620519
Provider Name (Legal Business Name): NANCY DEL ROCIO LAGUER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5268 CHOCTAW AVE
PENSACOLA FL
32507-8702
US

IV. Provider business mailing address

5268 CHOCTAW AVE
PENSACOLA FL
32507-8702
US

V. Phone/Fax

Practice location:
  • Phone: 850-462-4107
  • Fax:
Mailing address:
  • Phone: 850-831-4652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number24973
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: