Organization
CIRCLES OF CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALLON DEROSA MBA (ASST. DIRECTOR OF HUMAN RESOURCES)
(321) 722-5273
Entity
Organization
Contact information
Practice address
1770 CEDAR ST, ROCKLEDGE, FL 32955-3133
(321) 890-1500
(321) 634-6260
Mailing address
400 E SHERIDAN RD, MALEBOURNE, FL 32901-3184
(321) 722-5200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
04/16/2024
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