Organization Active NPI

Gulf Breeze Therapy, LLC

  • Clinical Social Worker
  • Gulf Breeze, FL
National Provider Identifier
1376278606
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GULF BREEZE THERAPY, LLC
Practice address
1354 Country Club Rd
Gulf Breeze, FL 32563-3471
Phone
(850) 378-3517
Fax
(855) 682-6103
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Becca Pieske
Title
Practice Manager
Phone
(850) 716-2693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1354 Country Club Rd
Gulf Breeze, FL 32563-3471

Mailing address

210 Firethorn Rd
Gulf Breeze, FL 32561-4318
Phone (850) 737-6864

National Provider Directory

National Provider Directory

Locations

2705 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 737-6864

1354 Country Club Rd
Gulf Breeze, FL 32563
Phone (850) 378-3517

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1376278606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FIRETHORN RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614318",
            "telephone_number": "850-737-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 COUNTRY CLUB RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633471",
            "telephone_number": "850-378-3517",
            "fax_number": "855-682-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF BREEZE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "PIESKE",
        "authorized_official_first_name": "BECCA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "850-716-2693"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.