| Counseling Inc., Dba Alliance Counseling | |
|
17 Racetrack Rd Nw Fort Walton Beach FL 32547-4616 | |
| (850) 226-6828 | |
| Not Available |
| Full Name | Counseling Inc., Dba Alliance Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 17 Racetrack Rd Nw, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Deanna Hickenbotham (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8502267226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Inc., Dba Alliance Counseling 17 Racetrack Rd Nw Fort Walton Beach FL 32547-4616 Ph: (850) 226-6828 | Counseling Inc., Dba Alliance Counseling 17 Racetrack Rd Nw Fort Walton Beach FL 32547-4616 Ph: (850) 226-6828 |
| NPI Number | 1215321963 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215321963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11935 (Florida) | Primary |
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