Organization
BAYSIDE FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN ROBERT WINGARD (THERAPIST)
(321) 616-5727
Entity
Organization
Contact information
Practice address
1890 HALLENDALE AVE SW, PALM BAY, FL 32908-1286
(321) 616-5727
Mailing address
1890 HALLENDALE AVE SW, PALM BAY, FL 32908-1286
(321) 616-5727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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