THE BROKEN BIRD INC. NPI 1356177521

NPI Information

  • NPI: 1356177521
  • Provider Name: THE BROKEN BIRD INC.
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: THE BROKEN BIRD INC COUNSELING SERVICES
  • Address: 2475 PALM BAY RD NE STE 145
    PALM BAY, FL
    ZIP 32905
  • Phone: (321) 440-7253

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NPI Details

THE BROKEN BIRD INC. is an addiction (substance use disorder) counselor in Palm Bay, FL. THE BROKEN BIRD INC. NPI is 1356177521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Broken Bird Inc Counseling Services.

The provider's business location address is:

2475 PALM BAY RD NE STE 145
PALM BAY, FL
ZIP 32905-362
Phone: (321) 440-7253
Fax: (321) 473-8426

The provider's authorized official is Clara Graves Hopkins .
The authorized official title is Ceo and has the following contact phone number (321) 440-7253.

The enumeration date for this NPI number is 9/12/2024 and was last updated on 9/12/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)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: 11/21/2025

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