South Walton Academy, Inc.

LBN: South Walton Academy, Inc.
South Walton Academy, Inc. is an health care organization with primary practice located at 305 Mack Bayou Rd , Santa Rosa Beach FL 32459-7199. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. South Walton Academy, Inc. can be contacted via phone (850) 213-4595, or through Middlebrooks, Calley G via phone (850) 213-4595.

Contact Information

Primary practice address
305 Mack Bayou Rd Santa Rosa Beach FL 32459-7199
Phone: (850) 213-4595
Fax: (850) 213-4596
Website:
Map and Directions
Authorized official contact:
Name: Middlebrooks, Calley G DT
Phone: (850) 213-4595

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1568964278
LBN Legal business name South Walton Academy, Inc.
DBA Doing business as
Authorized official Middlebrooks, Calley G DT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2018
Last updated Jan 25th, 2021 - about 3 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 1568964278 NPPES
Florida MEDICAID 1255535597

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