Organization
FOUNDATIONS COUNSELING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAYNA BRAVO (EXECUTIVE DIRECTOR/OWNER)
(321) 622-8104
Entity
Organization
Contact information
Practice address
1299 BEDFORD DR STE B2, MELBOURNE, FL 32940-1900
(321) 537-6034
(321) 547-4046
Mailing address
1299 BEDFORD DR STE B2, MELBOURNE, FL 32940-1900
(321) 622-8104
(321) 547-4046
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316226756
HUMANA
—
Enumeration date
08/29/2019
Last updated
02/08/2023
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