BAYOU WELLNESS, LLC
NPI 1083096036
Counselor - Mental Health in Gulf Breeze, FL

Active since June 26, 2015
69 BAY BRIDGE DR, SUITE H, GULF BREEZE, FL 32561(850) 324-7912 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bayou Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYOU WELLNESS, LLC (NPI 1083096036) is a healthcare organization registered as a mental health in Gulf Breeze, Florida and active in the NPI registry since June 2015. The organization lists Andrea Burks, Owner, as its authorized official.

NPPES Registry Identity

NPI1083096036
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBAYOU WELLNESS, LLC
Location Address69 BAY BRIDGE DR, SUITE HGulf Breeze, FL 32561-4468
Mailing Address69 Bay Bridge Dr, Suite HGulf Breeze, FL 32561-4468
Organization SubpartNo
Authorized OfficialAndrea BurksOwner · (850) 324-7912
Enumeration DateJune 26, 2015
NPI 1083096036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH12035
69 BAY BRIDGE DR, Gulf Breeze, FL 32561

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Contractor
69 BAY BRIDGE DR
GULF BREEZE, FL 32561
Social Worker (Clinical)
69 BAY BRIDGE DR, SUITE H
GULF BREEZE, FL 32561
Counselor (Mental Health)
69 BAY BRIDGE DR
GULF BREEZE, FL 32561
Counselor
69 BAY BRIDGE DR
GULF BREEZE, FL 32561
Social Worker (Clinical)
69 BAY BRIDGE DR
GULF BREEZE, FL 32561
Counselor (Mental Health)
69 BAY BRIDGE DR
GULF BREEZE, FL 32561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayou Wellness, LLC's NPI number?

The NPI number for Bayou Wellness, LLC is 1083096036. It was assigned to this organization in the NPPES registry on June 26, 2015.

Where is Bayou Wellness, LLC located?

Bayou Wellness, LLC is located at 69 Bay Bridge Dr Suite H, Gulf Breeze, FL 32561. The listed phone number is (850) 324-7912.

What is Bayou Wellness, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bayou Wellness, LLC was last updated on June 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.