| Etheridge Family Counseling, Llc | |
|
3040 N Wickham Rd Ste 3 Melbourne FL 32935-2369 | |
| (321) 324-8147 | |
| Not Available |
| Full Name | Etheridge Family Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3040 N Wickham Rd Ste 3, Melbourne, Florida |
| Authorized Official Name and Position | Cora Ann Etheridge (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3213248147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etheridge Family Counseling, Llc 1213 Winding Meadows Rd Rockledge FL 32955-8404 Ph: (321) 223-3376 | Etheridge Family Counseling, Llc 3040 N Wickham Rd Ste 3 Melbourne FL 32935-2369 Ph: (321) 324-8147 |
| NPI Number | 1275309734 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275309734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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