| NPI | 1932368479 |
|---|---|
| Other Name | GULFCOAST PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | TANIA MINGS Billing Rep 407-839-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5607) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6690) |
| 104100000X Social Worker (Licence: FL SW4402) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-11-24 |