Eileen Rachel Wolfe

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13864 Issued in FL

Legal business name

EILEEN RACHEL WOLFE

Practice address

1221 E de Soto St
Pensacola, FL 32501-3337

Phone

(850) 439-2100

Fax

(850) 439-2122

NPI assigned

Nov 16, 2017

Organization subpart

No

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

Authorized official

Name

Eileen Wolfe, LMHC

Title

Owner

Phone

(850) 439-2100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1952815607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 JASPER ST",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325337726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E DE SOTO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013337",
            "telephone_number": "850-439-2100",
            "fax_number": "850-439-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN RACHEL WOLFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-439-2100",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INVIVIDUAL NPI",
            "identifier": "1093172207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marisa Nicole Elgin, PA-C

• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.