505 Family Therapy
Organization Active NPI Marriage & Family Therapist · Gulf Breeze, FL
NPI 1689455149 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1689455149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- 505 FAMILY THERAPY
- Practice address
- 1758 Sioux TRL
Gulf Breeze, FL 32563-9257 - Phone
- (505) 234-6262
- NPI assigned
- Oct 11, 2023
- Organization subpart
- No
Authorized official
- Name
- Annalyse Lucero, LMFT
- Title
- Owner
- Phone
- (505) 261-0923
Practitioners 1
-
Annalyse Lucero, LAMFT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
1758 Sioux TRL
Gulf Breeze, FL 32563-9257
Mailing address
1758 Sioux TRL
Gulf Breeze, FL 32563-9257
Phone (505) 234-6262
Other providers in Gulf Breeze, FL
- 2 Stix, Inc.
- A Stream of Development, LLC
- A Sunny Day Development Center LLC
- A Trusted Nurse Practitioner
- Levi Abell
- Daniel J Abshire Jr.
All providers in Gulf Breeze, FL · Marriage & Family Therapist 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 11, 2023. 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.