Family Counseling Center Of Brevard, Inc. in Rockledge - Community/behavioral Health
Family Counseling Center Of Brevard, Inc. - NPI 1912053919
Family Counseling Center Of Brevard, Inc. is a Community/behavioral Health in Rockledge, Florida. Family Counseling Center Of Brevard, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Family Counseling Center Of Brevard, Inc. is 1912053919. The last update date is 2008-04-22.
Family Counseling Center Of Brevard, Inc.'s current location address is 840 Brevard Ave, Rockledge, Florida. You can contact this provider via phone number 3216325792 and fax number 3216325796. The mailing address for Family Counseling Center Of Brevard, Inc. is 840 Brevard Ave, Rockledge, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Counseling Center Of Brevard, Inc. |
|---|---|
| Address | 840 Brevard Ave, Rockledge, Florida |
| Phone Number | 3216325792 |
| Fax Number | 3216325796 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kolodziej Phillip |
| Credentials | MSW, ACSW |
| Telephone Number | 3216325792 |
NPI Number Detail
| NPI Number | 1912053919 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 840 Brevard Ave |
|---|---|
| City | Rockledge |
| State | Florida (FL) |
| Post Code | 329552149 |
| Phone Number | 3216325792 |
| Fax Number | 3216325796 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | SW5110 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60332500 | FL | -- | |
| 275862 | FL | CLINICAL SOCIAL WORKER | |
| 62-40039 | FL | CLINICAL SOCIAL WORKER |
Post Comment/ Review Below
What is the unique identification code assigned to Family Counseling Center Of Brevard, Inc. by the Centers for Medicare & Medicaid Services?
The Family Counseling Center Of Brevard, Inc. has been issued the NPI (National Provider Identifier) 1912053919. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Family Counseling Center Of Brevard, Inc. is geographically located?
The Family Counseling Center Of Brevard, Inc. is physically situated at the following location: 840 Brevard Ave, Rockledge, FL, 329552149.
What is Family Counseling Center Of Brevard, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Family Counseling Center Of Brevard, Inc. is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912053919 to Family Counseling Center Of Brevard, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1912053919 to Family Counseling Center Of Brevard, Inc. on 2007-01-25.
As of what date were the Family Counseling Center Of Brevard, Inc.'s details last updated?
The information pertaining to the Family Counseling Center Of Brevard, Inc., including its address, specialty, and other details, was most recently updated on 2008-04-22.