Bayou Counseling Services, P.a.
Organization Active NPI Mental Health Counselor · Niceville, FL
NPI 1508236332 · NPPES record last updated Oct 6, 2015
Key facts
- NPI
- 1508236332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3495 (FL)
- Legal business name
- BAYOU COUNSELING SERVICES, P.A.
- Practice address
- 222 Government Ave
Suite a
Niceville, FL 32578-1868 - Phone
- (850) 678-1746
- NPI assigned
- Oct 6, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Janice Marie Collier, LMHC
- Title
- President
- Phone
- (850) 678-1846
Practitioners 2
-
Janice Marie Collier, L.M.H.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240405000305 | FL | Part B Supplier - Clinic/Group Practice | 6709224082 | Practice locations: Niceville, FL |
National Provider Directory
Locations
222 Government Ave
Ste A
Niceville, FL 32578
Phone (850) 678-1746
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 3495 | FL | Yes |
Addresses
Primary practice location
222 Government Ave
Suite a
Niceville, FL 32578-1868
Mailing address
222 Government Ave
Suite a
Niceville, FL 32578-1868
Phone (850) 678-1746
Other providers in Niceville, FL
- Louise Barthel
- Bay Area Better Hearing
- Bay Area Psychological Consultants
- Bay Breeze Counseling, PLLC
- Bayne Jones Army Community Hospital
- Bayshore Anesthesia P a
- Bayside Psychology Services, LLC
- Baywind Medical, Inc
- Beachside Pediatric Associates, P.a.
- Scott L Beals
All providers in Niceville, 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 Oct 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.