| Fogarty Wellness Llc | |
|
114 Airport Rd Ste A Panama City FL 32405-4738 | |
| (850) 832-3173 | |
| Not Available |
| Full Name | Fogarty Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 114 Airport Rd Ste A, Panama City, Florida |
| Authorized Official Name and Position | Kristy Fogarty (OWNER) |
| Authorized Official Contact | 8504630780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fogarty Wellness Llc 1801 Kingslee Dr Panama City FL 32409-3577 Ph: (850) 832-3173 | Fogarty Wellness Llc 114 Airport Rd Ste A Panama City FL 32405-4738 Ph: (850) 832-3173 |
| NPI Number | 1265044499 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265044499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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