Michael D. Gusack, Ma, Lmhc

LBN: Michael D. Gusack, Ma, Lmhc
Michael D. Gusack, Ma, Lmhc is an health care organization with primary practice located at 124 E Miracle Strip Pkwy Ste 602 , Mary Esther FL 32569-1991. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Michael D. Gusack, Ma, Lmhc can be contacted via phone (850) 243-7035, or through Tumaneng, Maria via phone (850) 384-8648.

Contact Information

Primary practice address
124 E Miracle Strip Pkwy Ste 602 Mary Esther FL 32569-1991
Phone: (850) 243-7035
Fax: (850) 243-8529
Website:
Map and Directions
Authorized official contact:
Name: Tumaneng, Maria
Phone: (850) 384-8648

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1770048555
LBN Legal business name Michael D. Gusack, Ma, Lmhc
DBA Doing business as
Authorized official Tumaneng, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2019
Last updated Feb 5th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770048555 NPPES
Florida Other NPI 1548285154

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