Wellformed AI

NPI 1790370526 · live from the CMS NPI Registry

1life Counseling & Wellness

Social Worker, Clinical in Pensacola, FL. National Provider Identifier 1790370526, active.

NPI record

NPI1790370526 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location182 N Palafox St, Pensacola, FL 32502
Practice phone850-331-1830
Mailing addressPo Box 12525, Pensacola, FL 32591
EnumeratedMarch 3, 2021
Last updatedMarch 3, 2021
Authorized officialYolonda Dubose, Member/LCSW

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.