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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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