Organization
ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A.
Active
Other names
Adult & Child Counseling & Psychiatric Center, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYKUMAR R BHUJANG M.D. (CEO)
(321) 779-9838
Entity
Organization
Contact information
Practice address
5545 N WICKHAM RD, SUITE 110, MELBOURNE, FL 32940-7323
(321) 779-9838
(321) 779-4502
Mailing address
5545 N WICKHAM RD, SUITE 110, MELBOURNE, FL 32940-7323
(321) 779-9838
(321) 779-4502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
SW3614
FL
104100000X
Social Worker
SW3652
FL
2084P0800X
Psychiatry Physician
ME40362
FL
2084P0800X
Psychiatry Physician
Primary
ME50534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253817200
—
FL
Enumeration date
04/25/2006
Last updated
04/17/2014
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