Bayou Wellness of Northwest Florida, LLC
Bayou Wellness of Northwest Florida, LLC is a Counselor in Pensacola, Florida. Licensed in Florida. Registered with an NPI since 2018.
- Licensed in
- FL
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17 W Maxwell StPensacola, FL 32501-1717
Phone: (850) 324-7912
Fax: (850) 270-7821
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence MH12035 (FL) |
|---|
Record details
| NPI number | 1841778636 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrea Burks — Counselor, Owner · (850) 324-7912 |
| Other names | Bayou Wellness |
| NPI enumerated | August 2, 2018 |
| Last updated in NPPES | December 1, 2023 |
| Certification date | December 1, 2023 |
| Mailing address | 17 W Maxwell St, Pensacola, FL 32501-1717 |
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