Space Coast Counseling Center, Inc.
NPI #1316070345 in Cape Canaveral, Florida
Provider Information
- NPI Number
- 1316070345
- Entity Type
- Organization
- Organization Name
- Space Coast Counseling Center, Inc.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Jun 17, 2022
Practice Location
- Address
- 166 CENTER ST STE 239
- City
- Cape Canaveral
- State
- Florida
- ZIP Code
- 32920-3717
- Phone
- (321) 267-2288
Authorized Official
- Name
- MS. LANA LYNN BEASLEY, MA, LMHC
- Title
- PRESIDENT
- Phone
- (321) 267-2228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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