Provider Demographics
NPI:1770889222
Name:ADULT CHILDREN & FAMILY COUNSELING
Entity type:Organization
Organization Name:ADULT CHILDREN & FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENCED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMARIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CAP, SAP
Authorized Official - Phone:850-477-2799
Mailing Address - Street 1:1318 DUNMIRE ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6674
Mailing Address - Country:US
Mailing Address - Phone:850-477-2799
Mailing Address - Fax:850-477-2796
Practice Address - Street 1:1318 DUNMIRE ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6674
Practice Address - Country:US
Practice Address - Phone:850-477-2799
Practice Address - Fax:850-477-2796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3039101Y00000X, 101YA0400X, 101YP2500X, 106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty