Emerald Coast Therapeutics Pllc | |
141 Mack Bayou Loop Ste 301 Santa Rosa Beach FL 32459-7194 | |
(850) 583-1497 | |
Not Available |
Full Name | Emerald Coast Therapeutics Pllc |
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Speciality | Counselor - Professional |
Location | 141 Mack Bayou Loop Ste 301, Santa Rosa Beach, Florida |
Authorized Official Name and Position | Joshua D Hostetter (OWNER) |
Authorized Official Contact | 8505831497 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Emerald Coast Therapeutics Pllc 141 Mack Bayou Loop Ste 301 Santa Rosa Beach FL 32459-7194 Ph: (850) 583-1497 | Emerald Coast Therapeutics Pllc 141 Mack Bayou Loop Ste 301 Santa Rosa Beach FL 32459-7194 Ph: (850) 583-1497 |
NPI Number | 1669180964 |
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Provider Enumeration Date | 11/07/2022 |
Last Update Date | 11/07/2022 |
Certification Date | 11/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669180964 | NPI | - | NPPES |
1144458993 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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