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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