Gulf Shores Counseling Center | |
6151 Lake Osprey Dr Ste 300 Lakewood Ranch FL 34240-8436 | |
(941) 391-1399 | |
(941) 893-3756 |
Full Name | Gulf Shores Counseling Center |
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Speciality | Social Worker |
Location | 6151 Lake Osprey Dr Ste 300, Lakewood Ranch, Florida |
Authorized Official Name and Position | Christine M Rykiel (OWNER/EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9413911399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gulf Shores Counseling Center 6151 Lake Osprey Dr Ste 300 Lakewood Ranch FL 34240-8436 Ph: (941) 391-1399 | Gulf Shores Counseling Center 6151 Lake Osprey Dr Ste 300 Lakewood Ranch FL 34240-8436 Ph: (941) 391-1399 |
NPI Number | 1982961835 |
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Provider Enumeration Date | 04/17/2012 |
Last Update Date | 06/18/2025 |
Certification Date | 06/18/2025 |
Medicare PECOS PAC ID | 8022272947 |
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Medicare Enrollment ID | O20120605000575 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982961835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Christine M Rykiel |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457386658 PECOS PAC ID: 7810936150 Enrollment ID: I20120605000510 |
Provider Name | Evelyn Carbonell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811088743 PECOS PAC ID: 5991097586 Enrollment ID: I20160629002189 |
Provider Name | Debbie Nelson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215331178 PECOS PAC ID: 4880028216 Enrollment ID: I20191218001033 |
Provider Name | Constance Reinhard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144261744 PECOS PAC ID: 4688699432 Enrollment ID: I20200424000692 |
Provider Name | Eileen Robertson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730782178 PECOS PAC ID: 3173936713 Enrollment ID: I20201229000258 |
Provider Name | Melissa Houseman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467128942 PECOS PAC ID: 5496198707 Enrollment ID: I20240530002742 |
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