Foundations Counseling, LLC.
Community/Behavioral Health in Melbourne, FL. Organization (NPI-2).
NPI number1366090730
StatusActive
Last updated in NPPESFeb 8, 2023
Details
- NPI
- 1366090730
- Entity type
- Organization (NPI-2)
- Legal business name
- Foundations Counseling, LLC.
- Organization subpart
- No
- Enumeration date
- Aug 29, 2019
- Certification date
- Feb 8, 2023
- Last updated
- Feb 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1299 Bedford Dr Ste B2Melbourne, FL 32940-1900
Phone 321-537-6034 · Fax 321-547-4046
Mailing address
1299 Bedford Dr Ste B2Melbourne, FL 32940-1900
Phone 321-622-8104 · Fax 321-547-4046
Authorized official
Rayna Bravo
Executive Director/Owner
3216228104
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