| The Healing Path, Family Counseling Center, Inc. | |
|
810 Hollywood Blvd West Melbourne FL 32904-7418 | |
| (321) 506-4625 | |
| (321) 723-8233 |
| Full Name | The Healing Path, Family Counseling Center, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 810 Hollywood Blvd, West Melbourne, Florida |
| Authorized Official Name and Position | Deborah Lynn Nickens (OWNER) |
| Authorized Official Contact | 3215064625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Path, Family Counseling Center, Inc. 3565 Hammock Trl Melbourne FL 32934-8321 Ph: (321) 506-4625 | The Healing Path, Family Counseling Center, Inc. 810 Hollywood Blvd West Melbourne FL 32904-7418 Ph: (321) 506-4625 |
| NPI Number | 1952660698 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952660698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH8021 (Florida) | Primary |
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