| Organization Name: | EMERALD COAST COUNSELING & ASSOCIATES |
| NPI Number: | 1609276252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRITTANY GREENE (ADMINISTRATIVE ASSISTANT) |
| Mailing Address: | 151 Mary Esther Blvd Ste 507 Mary Esther |
| State: | FL US |
| Postal Code: | 325691976 |
| Phone Number: | 8502267419 |
| Fax Number: | 8503627403 |
| NPI Enumeration Date: | 09/02/2014 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 5054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |