Provider Demographics
NPI:1154626489
Name:GULF COAST CARING SOLUTIONS
Entity type:Organization
Organization Name:GULF COAST CARING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:BELL
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, NCP
Authorized Official - Phone:850-512-1805
Mailing Address - Street 1:14912 MONROVIA ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-8347
Mailing Address - Country:US
Mailing Address - Phone:850-512-1805
Mailing Address - Fax:
Practice Address - Street 1:14912 MONROVIA ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32507-8347
Practice Address - Country:US
Practice Address - Phone:850-512-1805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3177251B00000X
FLPG800251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management