Treasure Coast Community Health Inc | |
12196 County Road 512 Fellsmere FL 32948-5463 | |
(772) 257-8224 | |
(772) 213-3157 |
Full Name | Treasure Coast Community Health Inc |
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Speciality | Counselor - Mental Health |
Location | 12196 County Road 512, Fellsmere, Florida |
Authorized Official Name and Position | Vicki Soule (CEO) |
Authorized Official Contact | 7722578224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Treasure Coast Community Health Inc 1555 Indian River Blvd Ste B210 Vero Beach FL 32960-7113 Ph: (772) 257-8224 | Treasure Coast Community Health Inc 12196 County Road 512 Fellsmere FL 32948-5463 Ph: (772) 257-8224 |
NPI Number | 1942974035 |
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Provider Enumeration Date | 08/03/2021 |
Last Update Date | 03/22/2022 |
Certification Date | 03/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942974035 | NPI | - | NPPES |
020704503 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |