MEDICARE: DR. ERIN LINNE GAAL EDD

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAP2234	FL
2	101YP2500X	Professional Counselor	LPC2422	KS
3	101YM0800X	Mental Health Counselor	MH4477	FL

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	:	1922430909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN LINNE GAAL EDD

Provider Business Mailing Address
First Line	:	5 MIRACLE STRIP LOOP STE 15
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-8410
Country	:	US
Telephone Number	:	352-210-9876
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 MIRACLE STRIP LOOP STE 15
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-8410
Country	:	US
Telephone Number	:	352-210-9876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	07/10/2025

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Directions to “ DR. ERIN LINNE GAAL EDD” Practice Location

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