| Archway Enterprises, Inc. | |
|
1503 Pine St Melbourne FL 32901-3120 | |
| (321) 953-3225 | |
| (321) 953-3252 |
| Full Name | Archway Enterprises, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1503 Pine St, Melbourne, Florida |
| Authorized Official Name and Position | Judith Martinson-savage (PRESIDENT) |
| Authorized Official Contact | 3219533225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archway Enterprises, Inc. 325 Angelo Ln Cocoa Beach FL 32931-3601 Ph: (321) 953-3225 | Archway Enterprises, Inc. 1503 Pine St Melbourne FL 32901-3120 Ph: (321) 953-3225 |
| NPI Number | 1518041037 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518041037 | NPI | - | NPPES |
| CAQH #11566536 | Other | FL | PROVIDER INSURANCE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH0005906 (Florida) | Primary |
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