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ERIN MARGUERITE SCULLY LMHC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1497263594
Individual Registrant: ERIN MARGUERITE SCULLY LMHC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4300 DUHME RD MADEIRA BEACH, FL 33708-2892 US
Tel: 727-391-7001 Fax: --
Tel: 727-391-7001 Fax: --
Contact information for business:
4300 DUHME RD MADEIRA BEACH, FL 33708-2892 US
Tel: 727-391-7001 Fax: --
Tel: 727-391-7001 Fax: --
Registration Information:
NPI: 1497263594
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | FL | 15332 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1497263594 | FL | 05 |
