Provider Demographics
NPI:1518729201
Name:GLUCHACKI, NENA CHRISTINE (RMHCI)
Entity Type:Individual
Prefix:
First Name:NENA
Middle Name:CHRISTINE
Last Name:GLUCHACKI
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:NENA
Other - Middle Name:
Other - Last Name:FERRARA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RMHCI
Mailing Address - Street 1:9100 BALDRIDGE RD APT 2318
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-9459
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9100 BALDRIDGE RD APT 2318
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-9459
Practice Address - Country:US
Practice Address - Phone:850-686-1057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH25328101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health