# THE BROKEN BIRD INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 501(C)3
- **Other names:** The Broken Bird Inc Counseling Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356177521
- **Legal business name:** 501(C)3
- **Authorized official:** DR. CLARA GRAVES HOPKINS ED.D. CAP ICRC-ADC (CEO)
- **Authorized official phone:** (321) 440-7253

## Contact information

- **Practice address:** 2475 PALM BAY RD NE STE 145, PALM BAY, FL 32905-3362
- **Practice address phone:** (321) 440-7253
- **Practice address fax:** (321) 473-8426
- **Mailing address:** 2475 PALM BAY RD NE STE 145 \#27, PALM BAY, FL 32905-3362
- **Mailing address phone:** (321) 440-7253
- **Mailing address fax:** (321) 473-8426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2024
- **Last updated:** 09/12/2024