| Space Coast Health And Wellness Llc | |
|
3040 N Wickham Rd Ste 3 Melbourne FL 32935-2369 | |
| (321) 425-2424 | |
| (321) 256-5000 |
| Full Name | Space Coast Health And Wellness Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3040 N Wickham Rd Ste 3, Melbourne, Florida |
| Authorized Official Name and Position | Ashley Mae Fleck (CEO/ OWNER) |
| Authorized Official Contact | 3214252424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Health And Wellness Llc Po Box 120161 Melbourne FL 32912-0161 Ph: (321) 425-2424 | Space Coast Health And Wellness Llc 3040 N Wickham Rd Ste 3 Melbourne FL 32935-2369 Ph: (321) 425-2424 |
| NPI Number | 1295520898 |
|---|---|
| Provider Enumeration Date | 04/14/2025 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295520898 | NPI | - | NPPES |
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