| Bayou Wellness, Llc | |
|
69 Bay Bridge Dr Suite H Gulf Breeze FL 32561-4468 | |
| (850) 324-7912 | |
| Not Available |
| Full Name | Bayou Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 69 Bay Bridge Dr, Gulf Breeze, Florida |
| Authorized Official Name and Position | Andrea Burks (OWNER) |
| Authorized Official Contact | 8503247912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Wellness, Llc 69 Bay Bridge Dr Suite H Gulf Breeze FL 32561-4468 Ph: () - | Bayou Wellness, Llc 69 Bay Bridge Dr Suite H Gulf Breeze FL 32561-4468 Ph: (850) 324-7912 |
| NPI Number | 1083096036 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083096036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH12035 (Florida) | Primary |
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