| Doctor Name: | OCTAVIA SEALS |
| NPI Number: | 1003140245 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW7868 |
| Business Practice Address: | 1221 W Lakeview Ave Pensacola, FL - 325011857 |
| Business Phone Number: | 8504693500 |
| Business Fax Number: | 8505951400 |
| Mailing Address: | 1221 W Lakeview Ave, PENSACOLA |
| State: | FL |
| Postal Code: | 325011857 |
| Phone Number: | 8504693500 |
| Fax Number: | 8505951400 |
| NPI Enumeration Date: | 09/21/2009 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW7868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |