Organization · Type 2 NPI
Emilia Banse Pmhnp-Bc PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Santa Rosa Beach, FL
NPI number
1164044004
Active
Practice location
120 Golden Eagle Ct
Santa Rosa Beach, FL 32459-8344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1164044004
Emilia Banse Pmhnp-Bc PLLC's National Provider Identifier is 1164044004, issued on May 14, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Santa Rosa Beach, FL. The record was last updated on May 14, 2020.