Organization
FAMILY BUILDERS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL L. WELLS SR. LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(321) 432-8295
Entity
Organization
Contact information
Practice address
1010 NORWOOD AVE, TITUSVILLE, FL 32796-2747
(321) 432-8295
(321) 267-8491
Mailing address
3077 GREEN TURTLE CIR, MIMS, FL 32754-6515
(321) 432-8295
(321) 267-8491
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH8409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009489800
—
FL
01
—
Z3111P
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
03/09/2016
Last updated
03/09/2016
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