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Contact Information

ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A.
5545 N WICKHAM RD
SUITE 110
MELBOURNE, FL32940-7323
 Phone: 321-779-9838
 Fax: 321-779-4502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ADULT CHILD COUNSELING AND PSYCHIATRIC CENTER PA · (Female)

NPI # 1629034996
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2006
Last updated 04/17/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME40362
  • FL License # ME50534
  • FL License # SW3614
  • FL License # SW3652
  • FL Medicaid 253817200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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