BREVARD COUNSELING ASSOCIATES NPI 1548626393

NPI Information

NPI: 1548626393
Provider Name: BREVARD COUNSELING ASSOCIATES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1589 S WICKHAM RD
MELBOURNE, FL
ZIP 32904
Phone: (321) 328-8664
Get Directions

BREVARD COUNSELING ASSOCIATES is a mental health counselor in Melbourne, FL. BREVARD COUNSELING ASSOCIATES NPI is 1548626393. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1589 S WICKHAM RD
MELBOURNE, FL
ZIP 32904-540
Phone: (321) 328-8664
Fax: (321) 325-1949

The provider's authorized official is Jerry A Summerfield .
The authorized official title is Owner and has the following contact phone number (321) 328-8664.

The enumeration date for this NPI number is 1/9/2016 and was last updated on 1/9/2016.

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		MH13868	FLORIDA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MH13868	FLORIDA	No
3	101YP2500X	Counselor	Professional	MH13868	FLORIDA	No
4	101YM0800X	Counselor	Mental Health	MH13868	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »