MEDICARE: BIGG COUNSELING & CONSULTING, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	171400000X	Health & Wellness Coach
3	101YP2500X	Professional Counselor

Other Identifiers

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

General Provider Information

NPI Number	:	1801536917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIGG COUNSELING & CONSULTING, INC.

Provider Business Mailing Address
First Line	:	1333 COLLEGE PKWY UNIT 675
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-4943
Country	:	US
Telephone Number	:	850-861-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 MIRACLE STRIP PKWY SE STE 121
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32548-5819
Country	:	US
Telephone Number	:	850-861-7171
Fax Number	:	850-563-9100

Authorized Official
Title or Position	:	CEO/MANAGING DIRECTOR
Name	:	EBONYE JUNAE DICKENS
Credential	:
Telephone Number	:	850-966-3030

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	02/11/2025

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