HARLAN DAVID WALLNER (NPI# 1396381794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396381794 |
| Entity Type | Individual |
| Full Name | HARLAN DAVID WALLNER |
| Credential | RMHCI |
| Practice Address |
1101 Gulf Breeze Parkway Bldg 5, Ste 12 Gulf Breeze FL 32561-4892 |
| Mailing Address |
2222 Hencye Dr Apt B Pensacola FL 32514-7723 |
| Practice Telephone | 8507573976 |
| Mailing Telephone | 8507486318 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH18079 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1101 GULF BREEZE PARKWAY BLDG 5, STE 12 |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-4892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009605 | Leslynne Lee Green | Counselor | 2990 Gulf Breeze Pkwy / Counseling Suite, Gulf Breeze, FL 32563-3256 | 2020-10-06 |
| 1225655426 | Surgey Figueroa | Counselor | 1101 Gulf Breeze Pkwy Ste 12, Gulf Breeze, FL 32561-4892 | 2020-07-03 |
| 1528629383 | Maitri Counseling Center, LLC | Counselor | 2990 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3100 | 2019-06-24 |
| 1720545767 | Christina Marie Ropp | Counselor | 2990 Gulf Breeze Pkwy Ste A, Gulf Breeze, FL 32563-3100 | 2019-02-26 |
| 1063934560 | Cross Family Counseling, Pllc | Counselor | 913 Gulf Breeze Pkwy Ste 26a, Gulf Breeze, FL 32561-4731 | 2017-07-17 |
| 1366972648 | Tiffany Camille Vasek | Counselor | 3045 Ranchette Sq, Gulf Breeze, FL 32563-2611 | 2017-06-19 |
| 1396033874 | Carlos Alberto Jazan | Counselor | 4038 Sandy Bluff Dr W, Gulf Breeze, FL 32563-2938 | 2011-07-18 |
| 1720314313 | Nancy Pearce Sampson | Counselor | 5048 Lantana Dr, Gulf Breeze, FL 32563-8901 | 2009-11-02 |
| 1447406947 | Catherine Proctor Jehle | Counselor | 426 York St, Gulf Breeze, FL 32561-4155 | 2008-08-15 |
| 1962684779 | Kerry M Sise | Counselor | 1404 Rancho Villa Dr, Gulf Breeze, FL 32563-2618 | 2007-12-04 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
Please comment or provide details below to improve the information on HARLAN DAVID WALLNER.
| 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.