Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
M3 HAVEN INC.
Active
Organization
M3 HAVEN INC.
Active
Other names
Ellie Mental Health - Space Coast
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOSLEY (VICE PRESIDENT)
(321) 525-1103
Entity
Organization
Contact information
Practice address
6769 N WICKHAM RD # B101, MELBOURNE, FL 32940-2048
(321) 525-1103
(833) 767-2919
Mailing address
6769 N WICKHAM RD STE B101, MELBOURNE, FL 32940-2048
(321) 241-4286
(833) 767-2919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/25/2024
Last updated
03/05/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up