| Gulf Wind Counseling Llc | |
|
230 John Knox Rd Ste 1 Tallahassee FL 32303-6681 | |
| (850) 597-7833 | |
| (850) 792-8450 |
| Full Name | Gulf Wind Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 230 John Knox Rd Ste 1, Tallahassee, Florida |
| Authorized Official Name and Position | Terance Keenan (PRESIDENT) |
| Authorized Official Contact | 8504452476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Wind Counseling Llc 230 John Knox Rd Ste 1 Tallahassee FL 32303-6681 Ph: (850) 597-7833 | Gulf Wind Counseling Llc 230 John Knox Rd Ste 1 Tallahassee FL 32303-6681 Ph: (850) 597-7833 |
| NPI Number | 1841945623 |
|---|---|
| Provider Enumeration Date | 02/19/2022 |
| Last Update Date | 07/15/2023 |
| Certification Date | 07/15/2023 |
| Medicare PECOS PAC ID | 4981082559 |
|---|---|
| Medicare Enrollment ID | O20220610000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841945623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Terance Edward Keenan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730844135 PECOS PAC ID: 5890173462 Enrollment ID: I20220610000220 |
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