Organization
ARCHWAY COUNSELING CENTER
Active
Organization
ARCHWAY COUNSELING CENTER
Active
Other names
J. Phyllis Brannen, LCSW, CAP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. J. PHYLLIS BRANNEN LCSW, CAP (OWNER/OPERATOR)
(813) 482-2507
Entity
Organization
Contact information
Practice address
274 N BABCOCK ST, SUITE C, MELBOURNE, FL 32935-7334
(321) 313-0953
(321) 952-1767
Mailing address
274 N BABCOCK ST, SUITE C, MELBOURNE, FL 32935-7334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1805AD627401
FL
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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