Organization · Type 2 NPI

Spartan Health Alliance LLC

Psychiatric/Mental Health Nurse Practitioner · Melbourne, FL

NPI number 1497409767 Active

Practice location

3040 N Wickham Rd Ste 3
Melbourne, FL 32935-2369

Fax (321) 204-9168

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

5 other providers at this address

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Space Coast Health and Wellness LLCAdult Mental Health Clinic/Center Melbourne, FL NPI 1295520898
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

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NPI record

NPI: 1497409767
Entity type: Organization (Type 2)
Issued: Feb 7, 2022
Last updated: Aug 21, 2023
Status: Active

Other names

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Suntree Psychiatry · doing business as
Suntree Psychiatry · doing business as

Authorized official

Mr. Harry W Carroll, APRN, FNP-C, PMHNP
MGR
(954) 205-4551

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497409767

Spartan Health Alliance LLC's National Provider Identifier is 1497409767, issued on Feb 7, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Melbourne, FL. The record was last updated on Aug 21, 2023.