Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gulf Coast Rehabilitation Services, Inc

Organization Counselor · NPI 1447569264

Gulf Coast Rehabilitation Services, Inc is a Counselor in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
11
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3825 Henderson Blvd Ste 405
Tampa, FL 33629-5037
Phone: (877) 957-3422
Fax: (877) 957-3422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence MH11189 (FL)
Counselor Taxonomy 101Y00000X · Licence MH11189 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 5525 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 5552 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH11189 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence SW7468 (FL)
Psychoanalyst Taxonomy 102L00000X · Licence SW7468 (FL)
Psychoanalyst Taxonomy 102L00000X · Licence MH11189 (FL)
Behavior Analyst Taxonomy 103K00000X · Licence SW7468 (FL)
Social Worker Taxonomy 104100000X · Licence SW7468 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW7468 (FL)

Record details

NPI number1447569264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Shannon — Ceo · (877) 957-3422
NPI enumeratedSeptember 28, 2010
Last updated in NPPESMarch 19, 2014
Mailing addressPo Box 13798, Tampa, FL 33681-3798

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