| Blue Wave Counseling | |
|
330 N Babcock St Suite 102 Melbourne FL 32935-7324 | |
| (321) 313-1745 | |
| (321) 428-3358 |
| Full Name | Blue Wave Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 330 N Babcock St, Melbourne, Florida |
| Authorized Official Name and Position | Julie K Jordan (OWNER) |
| Authorized Official Contact | 3213131745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Wave Counseling 330 N Babcock St Suite 102 Melbourne FL 32935-7324 Ph: (321) 313-1745 | Blue Wave Counseling 330 N Babcock St Suite 102 Melbourne FL 32935-7324 Ph: (321) 313-1745 |
| NPI Number | 1801252515 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 01/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801252515 | NPI | - | NPPES |
| 001041900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH-9263 (Florida) | Primary |
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