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LIFESTYLE COUNSELING
NPI 1700287646
Counselor - Mental Health in Fort Walton Beach, FL

Active since September 10, 2014
203 CLOVERDALE BLVD, FORT WALTON BEACH, FL 32547(850) 712-3779 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifestyle Counseling NPPES

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

LIFESTYLE COUNSELING (NPI 1700287646) is a healthcare organization registered as a mental health in Fort Walton Beach, Florida and active in the NPI registry since September 2014. The organization lists Brooke Harrison, President, as its authorized official.

NPPES Registry Identity

NPI1700287646
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIFESTYLE COUNSELING
Location Address203 CLOVERDALE BLVDFort Walton Beach, FL 32547-1405
Mailing Address70 6th StShalimar, FL 32579-1362 · (850) 712-3779
Phone(850) 712-3779
Organization SubpartNo
Authorized OfficialBrooke HarrisonPresident · (850) 712-3779
Enumeration DateSeptember 10, 2014
✔ NPI 1700287646 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 · 12824
203 CLOVERDALE BLVD, Fort Walton Beach, FL 32547
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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 4

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

JAMES P WILSON MD
Internal Medicine
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-7604
BROOKE L HARRISON LMHC
Counselor (Mental Health)
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 712-3779
ANN RIGGINS
Social Worker (Clinical)
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 374-3333
SONYA GILMORE
Nurse Practitioner (Family)
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-7604

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 Lifestyle Counseling's NPI number?

The NPI number for Lifestyle Counseling is 1700287646. It was assigned to this organization in the NPPES registry on September 10, 2014.

Where is Lifestyle Counseling located?

Lifestyle Counseling is located at 203 Cloverdale Blvd, Fort Walton Beach, FL 32547. The listed phone number is (850) 712-3779.

What is Lifestyle Counseling'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 Lifestyle Counseling was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.