MRS. ROBERTA A. BROCK LMHC NPI 1336324235

NPI Information

NPI: 1336324235
Provider Name: MRS. ROBERTA A. BROCK, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2115 S BABCOCK ST
MELBOURNE, FL
ZIP 32901
Phone: (321) 729-0779
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MRS. Roberta A. Brock, LMHC is a mental health counselor in Melbourne, FL. MRS. Roberta A. Brock, LMHC NPI is 1336324235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2115 S BABCOCK ST
MELBOURNE, FL
ZIP 32901-303
Phone: (321) 729-0779
Fax: (321) 729-0784

The enumeration date for this NPI number is 1/9/2008 and was last updated on 9/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		IMH5549	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	IMH5549	FLORIDA	No
3	101YM0800X	Counselor	Mental Health	MH9393	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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