Organization · NPI-2

Circles Of Care, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Melbourne, FL

NPI number1922018431
StatusActive
Last updated in NPPESApr 16, 2024

Details

NPI
1922018431
Entity type
Organization (NPI-2)
Legal business name
Circles Of Care, INC.
Organization subpart
No
Enumeration date
Aug 8, 2006
Certification date
Apr 16, 2024
Last updated
Apr 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
101Y00000X Counselor––
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
103T00000X Psychologist––
1041C0700X Social Worker, Clinical––
251S00000X Community/Behavioral Health––

Practice location

4450 W Eau Gallie Blvd Ste 200
Melbourne, FL 32934-7214

Phone 321-726-2860 · Fax 321-752-3143

Mailing address

400 E Sheridan Rd
Melbourne, FL 32901-3184

Phone 321-722-5200

Authorized official

Fallon Derosa
Director Of Human Resources
3217225273

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