Provider Demographics
NPI:1932667730
Name:PENSACOLA COUNSELING, LLC
Entity Type:Organization
Organization Name:PENSACOLA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:850-341-0683
Mailing Address - Street 1:1720 W FAIRFIELD DR STE 303
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-1057
Mailing Address - Country:US
Mailing Address - Phone:850-341-0683
Mailing Address - Fax:
Practice Address - Street 1:1720 W FAIRFIELD DR STE 303
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1057
Practice Address - Country:US
Practice Address - Phone:850-341-0683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)