Organization
BURNHAM WOODS CHAMPA & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY FRANCIS BURNHAM LCSW (OWNER)
(321) 639-4483
Entity
Organization
Contact information
Practice address
1970 MICHIGAN AVE, J 2, COCOA, FL 32922-5758
(321) 639-4483
(321) 690-0848
Mailing address
1970 MICHIGAN AVE, J 2, COCOA, FL 32922-5758
(321) 639-4483
(321) 690-0848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH 5004
FL
101YM0800X
Mental Health Counselor
MH 6888
FL
103TC0700X
Clinical Psychologist
PY0004573
FL
1041C0700X
Clinical Social Worker
SW 615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39755
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/10/2006
Last updated
09/11/2025
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