Individual provider · Type 1 NPI

Stacey Peacock

Mental Health Counselor · Melbourne, FL

NPI number 1659918795 Active

Practice location

1600 W Eau Gallie Blvd Ste 201
Melbourne, FL 32935-4149

Call (561) 309-8750 Map

Mailing address

1616 Pine St
Melbourne, FL 32901-4523

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659918795

Stacey Peacock's National Provider Identifier is 1659918795, issued on Dec 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Dec 9, 2019.