Organization
CIRCLES OF CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALLON DEROSA (HR MANAGER)
(321) 722-5273
Entity
Organization
Contact information
Practice address
2000 COMMERCE DR, WEST MELBOURNE, FL 32904-2335
(321) 676-6640
Mailing address
400 E SHERIDAN RD, MELBOURNE, 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
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
8599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060291407
—
FL
Enumeration date
08/09/2006
Last updated
02/28/2022
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