Roberta A. Brock in Melbourne - Counselor

Roberta A. Brock - NPI 1336324235

Roberta A. Brock is a Counselor in Melbourne, Florida. Roberta A. Brock practices all healthcare services and medical treatments related to Counselor. The NPI Number for Roberta A. Brock is 1336324235. The last update date is 2009-09-23.

Roberta A. Brock's current location address is 2115 S Babcock St, Melbourne, Florida. You can contact this provider via phone number 3217290779 and fax number 3217290784. The mailing address for Roberta A. Brock is 2115 S Babcock St, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Roberta A. Brock
Address 2115 S Babcock St, Melbourne, Florida
Phone Number 3217290779
Fax Number 3217290784
Sole Proprietor Y
Credentials LMHC

NPI Number Detail

NPI Number 1336324235
Provider Enumeration Date 2008-01-09
Last Updated Date 2009-09-23

Provider Mailing Address Detail

Address 2115 S Babcock St
City Melbourne
State Florida (FL)
Post Code 329015303
Phone Number 3217290779
Fax Number 3217290784

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Licence No IMH5549
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

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FAQs about Roberta A. Brock

What is the Roberta A. Brock's unique identification number?

The Roberta A. Brock has been assigned the NPI (National Provider Identifier) Number 1336324235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Roberta A. Brock is located?

The Roberta A. Brock is situated at the following address: 2115 S Babcock St, Melbourne, FL, 329015303.

What is Roberta A. Brock's specialized field of practice, and what is the corresponding taxonomy classification code?

The Roberta A. Brock's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.

On what date was the 1336324235 assigned to Roberta A. Brock?

The Roberta A. Brock was issued its 1336324235 on 2008-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Roberta A. Brock most recently updated or refreshed?

The details pertaining to the Roberta A. Brock, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-23.

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