| Emerald Coast Wellness Center, Llc | |
|
138 Baywind Dr Niceville FL 32578-4800 | |
| (850) 398-4155 | |
| (850) 398-4142 |
| Full Name | Emerald Coast Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 138 Baywind Dr, Niceville, Florida |
| Authorized Official Name and Position | Henry Alexander Boilini (PSYCHIATRIST) |
| Authorized Official Contact | 8505435678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Wellness Center, Llc 138 Baywind Dr Niceville FL 32578-4800 Ph: (850) 398-4155 | Emerald Coast Wellness Center, Llc 138 Baywind Dr Niceville FL 32578-4800 Ph: (850) 398-4155 |
| NPI Number | 1417287855 |
|---|---|
| Provider Enumeration Date | 01/07/2010 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417287855 | NPI | - | NPPES |
| 008056800 | Medicaid | FL |
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