BLUE WAVE COUNSELING NPI 1801252515

NPI Information

NPI: 1801252515
Provider Name: BLUE WAVE COUNSELING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
330 N BABCOCK ST
SUITE 102
MELBOURNE, FL
ZIP 32935
Phone: (321) 313-1745
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BLUE WAVE COUNSELING is a mental health counselor in Melbourne, FL. BLUE WAVE COUNSELING NPI is 1801252515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

330 N BABCOCK ST
SUITE 102
MELBOURNE, FL
ZIP 32935-324
Phone: (321) 313-1745
Fax: (321) 428-3358

The provider's authorized official is Julie K Jordan .
The authorized official title is Owner and has the following contact phone number (321) 313-1745.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 1/11/2016.

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	101YM0800X	Counselor	Mental Health	MH-9263	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	001041900	MEDICAID	FLORIDA

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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