Organization
ANGELS ARMS MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANIVETTE RODRIGUEZ (OWNER)
(321) 510-0028
Entity
Organization
Contact information
Practice address
4100 N WICKHAM RD, MELBOURNE, FL 32935-2485
(321) 510-0028
(321) 510-0029
Mailing address
601 DELAWARE AVE, SAINT CLOUD, FL 34769-2983
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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