Organization
ATLANTIC PSYCHIATRIC CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY M CASE (OFFICE MANAGER)
(321) 724-1614
Entity
Organization
Contact information
Practice address
2123 FRANKLIN DR NE, PALM BAY, FL 32905-4022
(321) 724-1614
(321) 722-3590
Mailing address
2123 FRANKLIN DR NE, PALM BAY, FL 32905-4022
(321) 722-3590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116755200
—
FL
Enumeration date
05/26/2006
Last updated
06/12/2023
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