| Counseling Alliance | |
|
645 Classic Ct Suite 104 Melbourne FL 32940-8286 | |
| (321) 425-4405 | |
| Not Available |
| Full Name | Counseling Alliance |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 645 Classic Ct, Melbourne, Florida |
| Authorized Official Name and Position | Tiffanie Monique Trudeau (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 3214254405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Alliance 645 Classic Ct Suite 104 Melbourne FL 32940-8286 Ph: (321) 425-4405 | Counseling Alliance 645 Classic Ct Suite 104 Melbourne FL 32940-8286 Ph: (321) 425-4405 |
| NPI Number | 1740739226 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740739226 | NPI | - | NPPES |
| MH13469 | Other | LMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH13469 (Florida) | Primary |
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