| Bayou Wellness | |
|
17 W Maxwell St Pensacola FL 32501-1717 | |
| (850) 324-7912 | |
| (850) 270-7821 |
| Full Name | Bayou Wellness |
|---|---|
| Speciality | Counselor |
| Location | 17 W Maxwell St, Pensacola, Florida |
| Authorized Official Name and Position | Andrea Burks (COUNSELOR, OWNER) |
| Authorized Official Contact | 8503247912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Wellness 17 W Maxwell St Pensacola FL 32501-1717 Ph: (850) 324-7912 | Bayou Wellness 17 W Maxwell St Pensacola FL 32501-1717 Ph: (850) 324-7912 |
| NPI Number | 1841778636 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 12/01/2023 |
| Certification Date | 12/01/2023 |
| Medicare PECOS PAC ID | 4587085444 |
|---|---|
| Medicare Enrollment ID | O20200601001461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841778636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | MH12035 (Florida) | Primary |
| Provider Name | Ruth V Trigonis-quesada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942833215 PECOS PAC ID: 1355751223 Enrollment ID: I20201104000426 |
| Provider Name | Michelle Kistler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538833652 PECOS PAC ID: 3476950668 Enrollment ID: I20211001000132 |
| Provider Name | Dempsey Belle Rupe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710556493 PECOS PAC ID: 3375911621 Enrollment ID: I20221117003284 |
| Provider Name | Emily Faith Winfree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316729528 PECOS PAC ID: 2668823642 Enrollment ID: I20240104001609 |
| Provider Name | Alexia Mader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881130862 PECOS PAC ID: 5698114155 Enrollment ID: I20240416003718 |
| Provider Name | Andrea Burks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093142739 PECOS PAC ID: 2466873328 Enrollment ID: I20240517001569 |
Behavioral Assessment And Intervention Solutions Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Redbreast Ln, Pensacola, FL 32503 Phone: 850-426-3999 | |
Pamela Downey Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Government St, Pensacola, FL 32502 Phone: 850-529-4595 Fax: 850-361-3382 | |
Antidote Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5435 Japonica Ave, Pensacola, FL 32507 Phone: 850-332-3087 | |
A Little Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8511 Myslak Way Unit 2210, Pensacola, FL 32526 Phone: 850-601-1679 | |
Coastline Neuropsychiatric Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 S Palafox St Suite 300-l, Pensacola, FL 32502 Phone: 850-341-4896 Fax: 850-433-1996 | |
Meaningful Moments Therapeutic Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1576 Airport Blvd, Pensacola, FL 32504 Phone: 504-783-8888 | |
Kr Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6866 Pine Forest Rd Ste A, Pensacola, FL 32526 Phone: 850-670-2300 |