| J. Phyllis Brannen, Lcsw, Cap | |
|
274 N Babcock St Suite C Melbourne FL 32935-7334 | |
| (321) 313-0953 | |
| (321) 952-1767 |
| Full Name | J. Phyllis Brannen, Lcsw, Cap |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 274 N Babcock St, Melbourne, Florida |
| Authorized Official Name and Position | J. Phyllis Brannen (OWNER/OPERATOR) |
| Authorized Official Contact | 8134822507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Phyllis Brannen, Lcsw, Cap 274 N Babcock St Suite C Melbourne FL 32935-7334 Ph: () - | J. Phyllis Brannen, Lcsw, Cap 274 N Babcock St Suite C Melbourne FL 32935-7334 Ph: (321) 313-0953 |
| NPI Number | 1639576572 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 11/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639576572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1805AD627401 (Florida) | Primary |
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