Organization
COUNSELING CENTER OF BREVARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARIN PAINTER MS (LMHC)
(321) 543-1185
Entity
Organization
Contact information
Practice address
1413 S PATRICK DR, SUITE 1, INDIAN HARBOUR BEACH, FL 32937-4373
(321) 432-9282
(321) 777-5964
Mailing address
1413 S. PATRICK DR., SUITE 1, INDIAN HARBOUR BEACH, FL 32937
(321) 432-9282
(321) 777-5964
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MH 13192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018561500
—
FL
Enumeration date
05/01/2017
Last updated
05/01/2017
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