Beachside Counseling And Wellness, Llc | |
122 4th Ave Suite 200 Indialantic FL 32903-3112 | |
(321) 327-3793 | |
Not Available |
Full Name | Beachside Counseling And Wellness, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 122 4th Ave, Indialantic, Florida |
Authorized Official Name and Position | Lucy Lauer (OWNER) |
Authorized Official Contact | 3213273793 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beachside Counseling And Wellness, Llc 2105 S River Rd Melbourne Beach FL 32951-2929 Ph: (321) 327-3793 | Beachside Counseling And Wellness, Llc 122 4th Ave Suite 200 Indialantic FL 32903-3112 Ph: (321) 327-3793 |
NPI Number | 1538524194 |
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Provider Enumeration Date | 12/28/2015 |
Last Update Date | 12/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538524194 | NPI | - | NPPES |
1336264902 | Other | FL | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH9141 (Florida) | Primary |
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