Provider Demographics
NPI:1861602005
Name:GULF COAST COUNSELING, INC
Entity type:Organization
Organization Name:GULF COAST COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:BARNTHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-473-3838
Mailing Address - Street 1:2960 S MCCALL RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-7792
Mailing Address - Country:US
Mailing Address - Phone:941-473-3838
Mailing Address - Fax:941-473-3567
Practice Address - Street 1:2960 S MCCALL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-7792
Practice Address - Country:US
Practice Address - Phone:941-473-3838
Practice Address - Fax:941-473-3567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNA101YM0800X, 1041C0700X, 2084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Not Answered2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic MedicineGroup - Single Specialty