# BURNHAM WOODS CHAMPA & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851354732
- **Authorized official:** GARY FRANCIS BURNHAM LCSW (OWNER)
- **Authorized official phone:** (321) 639-4483

## Contact information

- **Practice address:** 1970 MICHIGAN AVE, J 2, COCOA, FL 32922-5758
- **Practice address phone:** (321) 639-4483
- **Practice address fax:** (321) 690-0848
- **Mailing address:** 1970 MICHIGAN AVE, J 2, COCOA, FL 32922-5758
- **Mailing address phone:** (321) 639-4483
- **Mailing address fax:** (321) 690-0848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MH 5004 | FL | Yes |
| 101YM0800X | Mental Health Counselor | MH 6888 | FL | — |
| 103TC0700X | Clinical Psychologist | PY0004573 | FL | — |
| 1041C0700X | Clinical Social Worker | SW 615 | FL | — |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 09/11/2025