GULF COAST THERAPY WORKS, LLC (NPI# 1083127120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083127120 |
| Entity Type | Organization |
| Organization Name | GULF COAST THERAPY WORKS, LLC |
| Practice Address |
101 Lottie Ln Ste 3 Fairhope AL 36532 |
| Mailing Address |
Po Box 1732 Daphne AL 36526-1732 |
| Practice Telephone | 2515177737 |
| Practice Fax Number | 2515177720 |
| Mailing Telephone | 2515177737 |
| Mailing Fax Number | 2515177720 |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | MS. KAREN SHEA MILLER (THERAPIST/OWNER) |
| Authorized Official Telephone | 2515177737 |
| Authorized Official Credential | LPC, LMHC, RPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH10822 | FL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3221 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSED MENTAL HEALTH COUNSELOR | MH10822 | 01 |
| NPI | 1912256330 | 01 | |
| AL | LICENSED PROFESSIONAL COUNSELOR | 3221 | 01 |
| NPI | 1568633436 | 01 | |
| AL | LICENSED PROFESSIONAL COUNSELOR | 4133 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Gulf Coast Therapy Works, LLC |
| Street Address |
101 LOTTIE LN STE 3 |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912256330 | Karen Shea Miller | Counselor | 101 Lottie Ln Ste 3, Fairhope, AL 36532-7309 | 2012-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637089 | William Bruce Hill | Counselor | 102 Song Grove Blvd, Fairhope, AL 36532-1915 | 2020-04-10 |
| 1770090151 | Mishegas | Counselor | 400 Fairhope Ave, Fairhope, AL 36532-2110 | 2018-01-07 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1639607955 | Julia W Stone | Counselor | 21180 State Highway 181 Ste 2, Fairhope, AL 36532-7454 | 2017-05-31 |
| 1295191187 | Anita A. Drummond | Counselor | 209 Driftwood Ave, Fairhope, AL 36532-3607 | 2016-01-07 |
| 1851654255 | Marie Diane Mello | Counselor | 111 Ashley Dr, Fairhope, AL 36532-2702 | 2012-06-20 |
| 1861790263 | Elizabeth B Minto | Counselor | 400 Fairhope Ave Ste 2g, Fairhope, AL 36532-2126 | 2011-03-09 |
| 1518160308 | Tess Powers | Counselor | 82 Plantation Pointe, 137, Fairhope, AL 36532-2962 | 2007-06-08 |
| 1982786729 | Augusta F Kantra | Counselor | 150 S Church St, Fairhope, AL 36532-1569 | 2006-10-20 |
| 1144260167 | Janie P Stephenson | Counselor | 8367 Morphy Ave Ste A, Fairhope, AL 36532-3653 | 2006-06-07 |
| Find all providers in FAIRHOPE | ||||
Please comment or provide details below to improve the information on GULF COAST THERAPY WORKS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.