| NPI | 1831886514 |
|---|---|
| Former Legal Business Name | GULF COAST COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE S PETERSON Owner 850-261-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-04-16 |