Provider Demographics
NPI:1053678813
Name:EMOTION MASTERY, LLC
Entity type:Organization
Organization Name:EMOTION MASTERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:P
Authorized Official - Last Name:VALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LMFT, CAP
Authorized Official - Phone:850-376-2682
Mailing Address - Street 1:PO BOX 5897
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-0897
Mailing Address - Country:US
Mailing Address - Phone:850-376-2682
Mailing Address - Fax:850-290-5756
Practice Address - Street 1:2270 HIGHWAY 87
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-3215
Practice Address - Country:US
Practice Address - Phone:850-376-2682
Practice Address - Fax:850-290-5756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4141101YA0400X
FL4865101YM0800X
FL2650106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty