| White Sands Counseling Center | |
|
9511 Holsberry Rd Ste B1 Pensacola FL 32534-1320 | |
| (850) 525-2551 | |
| Not Available |
| Full Name | White Sands Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9511 Holsberry Rd Ste B1, Pensacola, Florida |
| Authorized Official Name and Position | Joseph R Dutra (PARTNER) |
| Authorized Official Contact | 8505252551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Sands Counseling Center 9511 Holsberry Rd Ste B1 Pensacola FL 32534-1320 Ph: (850) 525-2551 | White Sands Counseling Center 9511 Holsberry Rd Ste B1 Pensacola FL 32534-1320 Ph: (850) 525-2551 |
| NPI Number | 1952874349 |
|---|---|
| Provider Enumeration Date | 01/08/2019 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952874349 | NPI | - | NPPES |
| 1750722674 | Other | FL | NPI |
| HU042Y | Other | FL | MEDICARE |
| 016112400 | Medicaid | FL | |
| 08RBR | Other | FL | BCBS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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