| Robert Updegrove Counseling Services, Inc. | |
|
1800 Penn St Ste 12 Melbourne FL 32901-2625 | |
| (407) 473-3976 | |
| Not Available |
| Full Name | Robert Updegrove Counseling Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1800 Penn St Ste 12, Melbourne, Florida |
| Authorized Official Name and Position | Robert Updegrove (PRESIDENT) |
| Authorized Official Contact | 4074733976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Updegrove Counseling Services, Inc. 197 Se 2nd St Satellite Bch FL 32937-2160 Ph: (407) 473-3976 | Robert Updegrove Counseling Services, Inc. 1800 Penn St Ste 12 Melbourne FL 32901-2625 Ph: (407) 473-3976 |
| NPI Number | 1639651508 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639651508 | NPI | - | NPPES |
| 014949200 | Medicaid | FL | |
| 1720213200 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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