A Healing Place
Organization Active NPI Mental Health Counselor · Pensacola, FL
NPI 1346543501 · NPPES record last updated Feb 22, 2011
Key facts
- NPI
- 1346543501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- A HEALING PLACE
- Practice address
- 15 W Strong St
Suite 30B
Pensacola, FL 32501-3164 - Phone
- (850) 433-0110
- Fax
- (850) 433-0188
- NPI assigned
- Dec 9, 2010
- Organization subpart
- No
Authorized official
- Name
- Vilma T Longoria, LMHC
- Title
- President
- Phone
- (850) 433-0110
Practitioners 2
-
Tammi Bondurant, LCSW
-
Susan Rivazfar, LCSW
National Provider Directory
Locations
609 W Chase St
Pensacola, FL 32502
Phone (850) 433-0110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
15 W Strong St
Suite 30B
Pensacola, FL 32501-3164
Mailing address
609 W Chase St
Pensacola, FL 32502-4711
Phone (850) 433-0110
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All providers in Pensacola, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.