ARCHWAY COUNSELING CENTER (NPI# 1639576572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639576572 |
Entity Type | Organization |
Organization Name | ARCHWAY COUNSELING CENTER |
Other Organization Name | J. PHYLLIS BRANNEN, LCSW, CAP |
Practice Address |
274 N Babcock St Suite C Melbourne FL 32935-7334 |
Practice Telephone | 3213130953 |
Practice Fax Number | 3219521767 |
Enumeration Date | 2014-11-20 |
Last Update Date | 2014-11-20 |
Authorized Official Name | MS. J. PHYLLIS BRANNEN (OWNER/OPERATOR) |
Authorized Official Telephone | 8134822507 |
Authorized Official Credential | LCSW, CAP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 1805AD627401 | FL | Agencies |
Other Name | Type Code |
---|---|
J. Phyllis Brannen, LCSW, CAP | Doing Business As Name - Organization |
Street Address |
274 N BABCOCK ST SUITE C |
City | MELBOURNE |
State | FL |
Zip Code | 32935-7334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
Find all providers in zip 32935 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487265260 | Happyville Counseling LLC | Community/Behavioral Health | 4865 N Wickham Rd, Melbourne, FL 32940-8303 | 2020-08-13 |
1073141693 | Terri Williamson, Lmhc, Pa | Community/Behavioral Health | 3270 Suntree Blvd Ste 103, Melbourne, FL 32940-7540 | 2020-03-30 |
1174086151 | Wolf Psychological Services LLC | Community/Behavioral Health | 3270 Suntree Blvd Ste 2231, Melbourne, FL 32940-7559 | 2019-04-08 |
1518234830 | Circles of Care, Inc. | Community/Behavioral Health | 880 Airport Blvd, Melbourne, FL 32901-2909 | 2011-12-01 |
1467736074 | Sarah M. W, Arnett, Psy.d., P.a. | Community/Behavioral Health | 100 Rialto Pl Ste 754, Melbourne, FL 32901-3003 | 2011-09-30 |
1477844751 | For The Community Florida Pllc | Community/Behavioral Health | 627 Williams St, Melbourne, FL 32901-6053 | 2011-04-21 |
1932389483 | Prevent of Brevard, Inc. | Community/Behavioral Health | 2115 Babcock St, Melbourne, FL 32901 | 2007-11-13 |
1366090730 | Foundations Counseling, LLC. | Community/Behavioral Health | 4875 N Wickham Rd Ste 105, Melbourne, FL 32940-8304 | 2019-08-29 |
1669930756 | Dawn A. Huggins Lcsw Pllc | Community/Behavioral Health | 7155 Murrell Rd Ste 101, Melbourne, FL 32940-8258 | 2019-03-07 |
1174094916 | Sunrise Psychology LLC | Community/Behavioral Health | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2018-12-05 |
Find all providers in MELBOURNE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.