Provider Demographics
NPI:1780203182
Name:GULFVIEW COUNSELING & WELLNESS
Entity Type:Organization
Organization Name:GULFVIEW COUNSELING & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ALC, NCC
Authorized Official - Phone:251-210-8884
Mailing Address - Street 1:3757 GULF SHORES PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-2757
Mailing Address - Country:US
Mailing Address - Phone:251-210-8884
Mailing Address - Fax:
Practice Address - Street 1:3757 GULF SHORES PKWY STE B
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-2757
Practice Address - Country:US
Practice Address - Phone:251-210-8884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty