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NPI Code Detail

MEDICARE: AS I AM COUNSELING & THERAPY, LLC

MEDICARE: AS I AM COUNSELING & THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1285205443
Entity Type Code : Organization
Provider Name (Legal Business Name) : AS I AM COUNSELING & THERAPY, LLC
Provider Business Mailing Address
First Line : 1010 N 12TH AVE STE 324
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3492
Country : US
Telephone Number : 850-359-2925
Fax Number :
Provider Business Practice Location Address
First Line : 1010 N 12TH AVE STE 324
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3492
Country : US
Telephone Number : 850-359-2925
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TANYA LAFAYE MCINTYRE
Credential : LMHC
Telephone Number : 850-359-2925
Provider Enumeration Date : 07/08/2021
Last Update Date : 07/08/2021

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Directions to “AS I AM COUNSELING & THERAPY, LLC ” Practice Location

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