Family Counseling Center Of Brevard Inc | |
505 Brevard Ave Suite 106 Cocoa FL 32922-7973 | |
(321) 632-5792 | |
(321) 632-5796 |
Full Name | Family Counseling Center Of Brevard Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 505 Brevard Ave, Cocoa, Florida |
Authorized Official Name and Position | Lori L Parsons (PRESIDENT/CEO) |
Authorized Official Contact | 3216325972 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Counseling Center Of Brevard Inc 505 Brevard Ave Suite 106 Cocoa FL 32922-7973 Ph: (321) 632-5792 | Family Counseling Center Of Brevard Inc 505 Brevard Ave Suite 106 Cocoa FL 32922-7973 Ph: (321) 632-5792 |
NPI Number | 1003876400 |
---|---|
Provider Enumeration Date | 03/28/2006 |
Last Update Date | 04/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003876400 | NPI | - | NPPES |
275892 | Other | FL | WELLCARE |
285955 | Other | FL | AMERIGROUP |
Z067R | Other | FL | BLUE CROSS BLUE SHIELD |
060332500 | Medicaid | FL | |
060332502 | Medicaid | FL | |
X0461 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Florida) | Secondary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Florida) | Primary |
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