Organization
KELLI M. CORDIS, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLI M. CORDIS LCSW (THERAPIST)
(773) 350-7602
Entity
Organization
Contact information
Practice address
1980 N ATLANTIC AVE, SUITE 616, COCOA BEACH, FL 32931-5213
(773) 350-7602
Mailing address
115 SUNSET DR, COCOA BEACH, FL 32931-2729
(773) 350-7602
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW13237
FL
Other
Enumeration date
11/02/2015
Last updated
03/01/2016
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