| M3 Haven Inc. | |
|
6769 N Wickham Rd # B101 Melbourne FL 32940-2048 | |
| (321) 525-1103 | |
| (833) 767-2919 |
| Full Name | M3 Haven Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 6769 N Wickham Rd # B101, Melbourne, Florida |
| Authorized Official Name and Position | Michael Mosley (VICE PRESIDENT) |
| Authorized Official Contact | 3215251103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M3 Haven Inc. 6769 N Wickham Rd Ste B101 Melbourne FL 32940-2048 Ph: (321) 241-4286 | M3 Haven Inc. 6769 N Wickham Rd # B101 Melbourne FL 32940-2048 Ph: (321) 525-1103 |
| NPI Number | 1831945484 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Medicare PECOS PAC ID | 9436698040 |
|---|---|
| Medicare Enrollment ID | O20240827004266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831945484 | NPI | - | NPPES |
| Provider Name | Joseph Patrick Barry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750761748 PECOS PAC ID: 7416496039 Enrollment ID: I20240827004413 |
| Provider Name | Abby Elizabeth Pease |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861868085 PECOS PAC ID: 8426597030 Enrollment ID: I20240828000547 |
| Provider Name | Elizabeth Rene Nyberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154689693 PECOS PAC ID: 9830630805 Enrollment ID: I20240917004456 |
| Provider Name | Heidi Mobley Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750959854 PECOS PAC ID: 7618405846 Enrollment ID: I20250115001640 |
| Provider Name | Grace E Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104631977 PECOS PAC ID: 3072033406 Enrollment ID: I20250227003964 |
| Provider Name | Shelby Bliss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487197570 PECOS PAC ID: 9335675677 Enrollment ID: I20250324003405 |
| Provider Name | Ruth Olmstead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700182987 PECOS PAC ID: 8325561186 Enrollment ID: I20250402001495 |
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