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General NPI Number Information
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NPI Number | 1891426458
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Entity Type | Organization
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Legal Business Name | GULF COAST COUNSELING
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 920 W GOVERNMENT ST
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City | PENSACOLA
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State | FL
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Zip | 32502-5308
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Country | US
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Telephone | 508-078-0114
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Fax |
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Provider Business Mailing Address
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Address Line | 920 W GOVERNMENT ST
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City | PENSACOLA
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State | FL
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Zip | 32502-5308
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Country | US
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Telephone | 850-807-0114
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DEVIN ELISE LOVELACE
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Credential | LMHC, LMFT
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Telephone | 850-380-9841
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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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