Emerald Coast Healing Center, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMERALD COAST HEALING CENTER, LLC

Practice address

8536 High School Blvd
Navarre, FL 32566-3218

Phone

(850) 684-5566

Fax

(850) 546-4588

NPI assigned

Nov 8, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dixie Eppolito, LMHCNPI 1114676368

Title

Ceo/Owner/Therapist

Phone

(850) 684-5566

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dixie Eppolito, MS, LMHC

  • Mental Health Counselor
  • Navarre, FL
  • NPI 1114676368
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1164130167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 NAVARRE SCHOOL RD UNIT 5277",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666412",
            "telephone_number": "850-684-5566",
            "fax_number": "850-546-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 HIGH SCHOOL BLVD",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663218",
            "telephone_number": "850-684-5566",
            "fax_number": "850-546-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "EPPOLITO",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_title_or_position": "CEO/OWNER/THERAPIST",
        "authorized_official_telephone_number": "850-684-5566",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dixieeppolito@emeraldcoasthealingcenter.org",
            "affiliation": "N",
            "address_1": "114 Cedar Ave Ste 210",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325362734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Ellis, M.A.
• Trinity Noel Ellis, MS
• Alyssa Jordan Lea Elman, LMT
• Robert James Elsas, DC
• Emerald Coast Direct Primary Care LLC
• Emerald Coast Home Living LLC
• Emerald Coast Psychotherapy LLC
• Emerald Eagle Healing Collective
• Emerald Waters Primary Care P.L.L.C.
• Emotion Mastery, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Navarre, FL
• Providers in Navarre, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.