| Fox Professional Counseling Llc | |
|
166 Center St Ste 203a Cape Canaveral FL 32920-3743 | |
| (321) 432-6080 | |
| Not Available |
| Full Name | Fox Professional Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 166 Center St Ste 203a, Cape Canaveral, Florida |
| Authorized Official Name and Position | John W Fox (OWNER) |
| Authorized Official Contact | 3214326082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Professional Counseling Llc 7970 Evelyn Ct Cape Canaveral FL 32920-5130 Ph: (321) 432-6080 | Fox Professional Counseling Llc 166 Center St Ste 203a Cape Canaveral FL 32920-3743 Ph: (321) 432-6080 |
| NPI Number | 1679199376 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 06/19/2020 |
| Certification Date | 06/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679199376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Space Coast Counseling Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 166 Center St Ste 239, Cape Canaveral, FL 32920 Phone: 321-267-2288 Fax: 866-703-0035 |