Provider Demographics
NPI:1033642400
Name:PELZER, JAMES (LMHC, CAP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:PELZER
Suffix:
Gender:M
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 NORTH DEVILLIERS ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-3890
Mailing Address - Country:US
Mailing Address - Phone:850-512-6574
Mailing Address - Fax:850-466-3959
Practice Address - Street 1:321 NORTH DEVILLIERS ST
Practice Address - Street 2:SUITE 209
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-3890
Practice Address - Country:US
Practice Address - Phone:850-512-6574
Practice Address - Fax:850-466-3959
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 14950101YM0800X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst