Organization Active NPI

Twila Roulhac

  • Community/Behavioral Health Agency
  • Panama City, FL
National Provider Identifier
1366796062
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
101YM0800X0 Issued in FL
Legal business name
TWILA ROULHAC
Practice address
2711 W 15TH St
Panama City, FL 32401-1366
Phone
(850) 769-6001
NPI assigned
Nov 1, 2012
Last updated
Nov 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Mrs. Twila Alisa Roulhac, M.A.NPI 1770936429
Title
Masters Level Counselor
Phone
(850) 628-7847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101YM0800X0 FL Primary

Addresses

Primary practice location

2711 W 15TH St
Panama City, FL 32401-1366

Mailing address

5639 Cardinal Rd
Campbellton, FL 32426-6902
Phone (850) 628-7847

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1366796062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 CARDINAL RD",
            "city": "CAMPBELLTON",
            "state": "FL",
            "postal_code": "324266902",
            "telephone_number": "850-628-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011366",
            "telephone_number": "850-769-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWILA ROULHAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "ROULHAC",
        "authorized_official_first_name": "TWILA",
        "authorized_official_middle_name": "ALISA",
        "authorized_official_title_or_position": "MASTERS LEVEL COUNSELOR",
        "authorized_official_telephone_number": "850-628-7847",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "101YM0800X0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.