Organization
PEACE CLUB INC.
Active
Other names
Peace Club
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS KOLSCH LMHC (OWNER)
(321) 420-4656
Entity
Organization
Contact information
Practice address
1811 S. ORLANDO AVENUE, COCOA BEACH, FL 32931
(321) 961-5833
Mailing address
1811 S ORLANDO AVE, COCOA BEACH, FL 32931-2340
(321) 423-1212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH13258
FL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1000359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH13258
LMHC
FL
Enumeration date
10/18/2017
Last updated
02/26/2025
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