Organization
SPACE COAST HEALTH AND WELLNESS LLC
Active
Organization
SPACE COAST HEALTH AND WELLNESS LLC
Active
Other names
Space Coast Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY MAE FLECK ARNP-BC, PMHNP- BC (CEO/ OWNER)
(321) 425-2424
Entity
Organization
Contact information
Practice address
3040 N WICKHAM RD STE 3, MELBOURNE, FL 32935-2369
(321) 425-2424
(321) 256-5000
Mailing address
PO BOX 120161, MELBOURNE, FL 32912-0161
(321) 425-2424
(321) 256-5000
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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