Organization Active NPI

Counseling for Effective Living Inc

  • Clinical Social Worker
  • Panama City, FL
National Provider Identifier
1659638336
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7654 Issued in FL
Legal business name
COUNSELING FOR EFFECTIVE LIVING INC
Practice address
102 Springhill Cir
Panama City, FL 32405-3546
Phone
(850) 522-8577
Fax
(850) 769-2366
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mrs. Phala Enzor, LCSW
Title
Owner/Practioner
Phone
(850) 522-8577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW7654 FL Primary

Addresses

Primary practice location

102 Springhill Cir
Panama City, FL 32405-3546

Mailing address

102 Springhill Cir
Panama City, FL 32405-3546
Phone (850) 522-8577

National Provider Directory

National Provider Directory

Locations

201 Forest Park Cir
Ste A
Panama City, FL 32405
Phone (850) 814-4246

102 Springhill Cir
Panama City, FL 32405
Phone (850) 522-8555

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": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1659638336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SPRINGHILL CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053546",
            "telephone_number": "850-522-8577",
            "fax_number": "850-769-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SPRINGHILL CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053546",
            "telephone_number": "850-522-8577",
            "fax_number": "850-769-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING FOR EFFECTIVE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "ENZOR",
        "authorized_official_first_name": "PHALA",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "850-522-8577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7654",
            "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 Apr 18, 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.