| Alyssa Buchanan, Llc | |
|
630 S Wickham Rd Ste 107 West Melbourne FL 32904-1429 | |
| (321) 608-0604 | |
| (321) 608-0604 |
| Full Name | Alyssa Buchanan, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 630 S Wickham Rd Ste 107, West Melbourne, Florida |
| Authorized Official Name and Position | Alyssa Buchanan (OWNER) |
| Authorized Official Contact | 3216080604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Buchanan, Llc 630 S Wickham Rd Ste 107 West Melbourne FL 32904-1429 Ph: (321) 608-0604 | Alyssa Buchanan, Llc 630 S Wickham Rd Ste 107 West Melbourne FL 32904-1429 Ph: (321) 608-0604 |
| NPI Number | 1487194817 |
|---|---|
| Provider Enumeration Date | 03/04/2017 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487194817 | NPI | - | NPPES |
| 014820300 | Medicaid | FL |
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