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NPI Code Detail

MEDICARE: MRS. MARY ELIZABETH POPOVICH LMHC

MEDICARE: MRS. MARY ELIZABETH POPOVICH LMHC
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
1101YM0800XMental Health CounselorMH13048FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760471767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY ELIZABETH POPOVICH LMHC
Provider Business Mailing Address
First Line : 1221 W LAKEVIEW AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-1836
Country : US
Telephone Number : 850-469-3500
Fax Number : 850-595-1400
Provider Business Practice Location Address
First Line : 1221 W LAKEVIEW AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-1836
Country : US
Telephone Number : 850-469-3500
Fax Number : 850-595-1400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 11/23/2022

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Directions to “ MRS. MARY ELIZABETH POPOVICH LMHC” Practice Location

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