| Gulf Counseling Services, Llc | |
|
7552 Navarre Pkwy Unit 7 Navarre FL 32566-7312 | |
| (850) 733-6671 | |
| (855) 490-2281 |
| Full Name | Gulf Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7552 Navarre Pkwy Unit 7, Navarre, Florida |
| Authorized Official Name and Position | Kelly Obrien (ADMINISTRATOR) |
| Authorized Official Contact | 8507336671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Counseling Services, Llc 6472 Bay Oaks Dr Milton FL 32583-7415 Ph: (850) 733-6671 | Gulf Counseling Services, Llc 7552 Navarre Pkwy Unit 7 Navarre FL 32566-7312 Ph: (850) 733-6671 |
| NPI Number | 1750838264 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/14/2022 |
| Medicare PECOS PAC ID | 3971891474 |
|---|---|
| Medicare Enrollment ID | O20161017001754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750838264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelly Patricia Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407129703 PECOS PAC ID: 2769771070 Enrollment ID: I20160510000619 |
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