Individual
AUTUMN BLAIR BELAHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3040 N WICKHAM RD STE 5, MELBOURNE, FL 32935-2369
(321) 405-2751
Mailing address
2649 BRADFORDT DR, WEST MELBOURNE, FL 32904-7450
(321) 720-1598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW19396
FL
1041C0700X
Clinical Social Worker
ISW14276
FL
1041C0700X
Clinical Social Worker
SW19396
FL
Other
Enumeration date
12/16/2021
Last updated
07/25/2022
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