BEACHSIDE COUNSELING AND WELLNESS LLC NPI 1538524194

NPI Information

NPI: 1538524194
Provider Name: BEACHSIDE COUNSELING AND WELLNESS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
122 4TH AVE
SUITE 200
INDIALANTIC, FL
ZIP 32903
Phone: (321) 327-3793
Get Directions

BEACHSIDE COUNSELING AND WELLNESS, LLC is a mental health (including community mental health center) clinic center in Indialantic, FL. BEACHSIDE COUNSELING AND WELLNESS, LLC NPI is 1538524194. The provider is registered as an organization entity type.

The provider's business location address is:

122 4TH AVE
SUITE 200
INDIALANTIC, FL
ZIP 32903-112
Phone: (321) 327-3793

The provider's authorized official is Lucy Lauer .
The authorized official title is Owner and has the following contact phone number (321) 327-3793.

The enumeration date for this NPI number is 12/28/2015 and was last updated on 12/28/2015.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	MH9141	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1336264902	OTHER	FLORIDA	NPPES

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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