The Healing Path, Family Counseling Center, Inc. | |
810 Hollywood Blvd West Melbourne FL 32904-7418 | |
(321) 506-4625 | |
(321) 723-8233 |
Full Name | The Healing Path, Family Counseling Center, Inc. |
---|---|
Speciality | Counselor - Mental Health |
Location | 810 Hollywood Blvd, West Melbourne, Florida |
Authorized Official Name and Position | Deborah Lynn Nickens (OWNER) |
Authorized Official Contact | 3215064625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Healing Path, Family Counseling Center, Inc. 3565 Hammock Trl Melbourne FL 32934-8321 Ph: (321) 506-4625 | The Healing Path, Family Counseling Center, Inc. 810 Hollywood Blvd West Melbourne FL 32904-7418 Ph: (321) 506-4625 |
NPI Number | 1952660698 |
---|---|
Provider Enumeration Date | 05/15/2012 |
Last Update Date | 05/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952660698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | IMH8021 (Florida) | Primary |
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