| Kizuna Counseling Llc | |
|
922 Mar Walt Dr Ste 200 Fort Walton Beach FL 32547-6703 | |
| (850) 517-6703 | |
| (850) 204-9330 |
| Full Name | Kizuna Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 922 Mar Walt Dr Ste 200, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Alina Ayako Griffin (SOLE PROPRIETOR) |
| Authorized Official Contact | 8505174604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kizuna Counseling Llc 922 Mar Walt Dr Ste 200 Fort Walton Beach FL 32547-6703 Ph: (850) 517-6703 | Kizuna Counseling Llc 922 Mar Walt Dr Ste 200 Fort Walton Beach FL 32547-6703 Ph: (850) 517-6703 |
| NPI Number | 1679363865 |
|---|---|
| Provider Enumeration Date | 05/09/2025 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/09/2025 |
| Medicare PECOS PAC ID | 0244749125 |
|---|---|
| Medicare Enrollment ID | O20250602003583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679363865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alina Ayako Griffith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326546482 PECOS PAC ID: 1153830039 Enrollment ID: I20250602003622 |
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