Bayou Counseling Services, P.a. | |
222 Government Ave Suite A Niceville FL 32578-1868 | |
(850) 678-1746 | |
Not Available |
Full Name | Bayou Counseling Services, P.a. |
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Speciality | Counselor |
Location | 222 Government Ave, Niceville, Florida |
Authorized Official Name and Position | Janice Marie Collier (PRESIDENT) |
Authorized Official Contact | 8506781846 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bayou Counseling Services, P.a. 222 Government Ave Suite A Niceville FL 32578-1868 Ph: (850) 678-1746 | Bayou Counseling Services, P.a. 222 Government Ave Suite A Niceville FL 32578-1868 Ph: (850) 678-1746 |
NPI Number | 1508236332 |
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Provider Enumeration Date | 10/06/2015 |
Last Update Date | 10/06/2015 |
Medicare PECOS PAC ID | 6709224082 |
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Medicare Enrollment ID | O20240405000305 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508236332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 3495 (Florida) | Primary |
Provider Name | Janice Marie Collier |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639116536 PECOS PAC ID: 7517305899 Enrollment ID: I20240405000432 |
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