| Organization Name: | QI BY THE SEA, INC. |
| NPI Number: | 1891839544 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEAN A GORMLEY (PRESIDENT) |
| Mailing Address: | 13357 Overseas Hwy Marathon |
| State: | FL US |
| Postal Code: | 330503550 |
| Phone Number: | 3057978527 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | AP 751 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |