Organization · Type 2 NPI
Space Coast Health and Wellness LLC
Adult Mental Health Clinic/Center · Melbourne, FL
NPI number
1295520898
Active
Practice location
3040 N Wickham Rd Ste 3
Melbourne, FL 32935-2369
Fax (321) 256-5000
Mailing address
PO Box 120161
Melbourne, FL 32912-0161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
5 other providers at this address
- Etheridge Family Counseling, LLCMental Health Counselor Melbourne, FL NPI 1275309734
- Spartan Health Alliance LLCPsychiatric/Mental Health Nurse Practitioner Melbourne, FL NPI 1497409767
- Ashley Mae Fleck, FNP-BC, PMHNP- BCNurse Practitioner Melbourne, FL NPI 1639770340
- Christina H. Principe, LMHCMental Health Counselor Melbourne, FL NPI 1992954515
- Harry W. Carroll Iv, FNPPsychiatric/Mental Health Nurse Practitioner Melbourne, FL NPI 1427513746
About NPI 1295520898
Space Coast Health and Wellness LLC's National Provider Identifier is 1295520898, issued on Apr 14, 2025. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Melbourne, FL. The record was last updated on Apr 14, 2025.