Provider Demographics
NPI:1801536917
Name:BIGG COUNSELING & CONSULTING, INC.
Entity type:Organization
Organization Name:BIGG COUNSELING & CONSULTING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EBONYE
Authorized Official - Middle Name:JUNAE
Authorized Official - Last Name:DICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-966-3030
Mailing Address - Street 1:1333 COLLEGE PKWY UNIT 675
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-4943
Mailing Address - Country:US
Mailing Address - Phone:850-861-7171
Mailing Address - Fax:
Practice Address - Street 1:217 MIRACLE STRIP PKWY SE STE 121
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-5819
Practice Address - Country:US
Practice Address - Phone:850-861-7171
Practice Address - Fax:850-563-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106399400Medicaid