Basic Information
| Provider Information | |||||||||
| NPI: | 1609539964 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EMERT | ||||||||
| FirstName: | MELINDA | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | MA ED | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 SPANISH MAIN DR | ||||||||
| Address2: | |||||||||
| City: | CUDJOE KEY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330424333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8508265831 | ||||||||
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| Practice Location | |||||||||
| Address1: | GUIDANCE CARE CENTER | ||||||||
| Address2: | 1205 4TH ST. | ||||||||
| City: | KEY WEST | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330402300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054347660 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2021 | ||||||||
| LastUpdateDate: | 10/14/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.