| Family Counseling Center Of Brevard Inc | |
|
505 Brevard Ave Suite 106 Cocoa FL 32922-7973 | |
| (321) 632-5792 | |
| (321) 632-5796 |
| Full Name | Family Counseling Center Of Brevard Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 505 Brevard Ave, Cocoa, Florida |
| Authorized Official Name and Position | Lori L Parsons (PRESIDENT/CEO) |
| Authorized Official Contact | 3216325972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Center Of Brevard Inc 505 Brevard Ave Suite 106 Cocoa FL 32922-7973 Ph: (321) 632-5792 | Family Counseling Center Of Brevard Inc 505 Brevard Ave Suite 106 Cocoa FL 32922-7973 Ph: (321) 632-5792 |
| NPI Number | 1003876400 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003876400 | NPI | - | NPPES |
| 275892 | Other | FL | WELLCARE |
| 285955 | Other | FL | AMERIGROUP |
| Z067R | Other | FL | BLUE CROSS BLUE SHIELD |
| 060332500 | Medicaid | FL | |
| 060332502 | Medicaid | FL | |
| X0461 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Florida) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Florida) | Primary |
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