| Lifestyle Counseling | |
|
203 Cloverdale Blvd Fort Walton Beach FL 32547-1405 | |
| (850) 712-3779 | |
| Not Available |
| Full Name | Lifestyle Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 203 Cloverdale Blvd, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Brooke Harrison (PRESIDENT) |
| Authorized Official Contact | 8507123779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Counseling 70 6th St Shalimar FL 32579-1362 Ph: (850) 712-3779 | Lifestyle Counseling 203 Cloverdale Blvd Fort Walton Beach FL 32547-1405 Ph: (850) 712-3779 |
| NPI Number | 1700287646 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 09/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700287646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 12824 (Florida) | Primary |
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