Provider Demographics
NPI:1225655426
Name:FIGUEROA, SURGEY (LMHC)
Entity Type:Individual
Prefix:
First Name:SURGEY
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 PEACOCK DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6827
Mailing Address - Country:US
Mailing Address - Phone:850-712-6418
Mailing Address - Fax:
Practice Address - Street 1:1101 GULF BREEZE PKWY STE 12
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4892
Practice Address - Country:US
Practice Address - Phone:850-391-3012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16420101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health