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General NPI Number Information
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NPI Number | 1164183158
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Entity Type | Organization
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Legal Business Name | BAY COUNSELING & WELLNESS, LLC
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 12135 PANAMA CITY BEACH PKWY
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2609
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Country | US
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Telephone | 850-270-8341
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Fax | 850-604-9697
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Provider Business Mailing Address
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Address Line | PO BOX 832
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City | LYNN HAVEN
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State | FL
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Zip | 32444-0832
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Country | US
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Telephone | 850-270-8341
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JONATHAN ROLLINS
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Credential | LMHC
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Telephone | 850-270-8341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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