Provider Demographics
NPI:1114043841
Name:ST SIMONS COUNSELING CENTER
Entity Type:Organization
Organization Name:ST SIMONS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:850-244-8448
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32549-0577
Mailing Address - Country:US
Mailing Address - Phone:850-244-8448
Mailing Address - Fax:850-244-4888
Practice Address - Street 1:28 MIRACLE STRIP PKWY SW
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-6613
Practice Address - Country:US
Practice Address - Phone:850-244-8448
Practice Address - Fax:850-244-4888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty