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Space Coast Health Centers Inc
Federally Qualified Health Center (FQHC) in Titusville, Florida
NPI 1144819319

Space Coast Health Centers Inc is a Federally Qualified Health Center (FQHC) based in Titusville, FL and is specialized in Federally Qualified Health Center (FQHC). Space Coast Health Centers Inc practices in Titusville, FL. The NPI Number for Space Coast Health Centers Inc is 1144819319 and holds a License No. (Florida).

The current practice location address for Space Coast Health Centers Inc is 951 N Washington Ave Ste 100, Titusville, FL and can be reached out via phone at 386-852-9565.

Location: 951 N Washington Ave Ste 100, Titusville, FL, 32796-2163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144819319
Provider Name
Space Coast Health Centers Inc
Credential
Provider Entity Type
Organization
Address
951 N Washington Ave Ste 100, Titusville, FL, 32796-2163
Phone Number
386-852-9565
Fax Number
Provider Enumeration Date
01/13/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
951 N Washington Ave Ste 100
City
Titusville
State
Florida
Zip
32796-2163
Phone Number
386-852-9565
Fax Number
person
Provider Business Mailing Address Details
Address
951 N Washington Ave Ste 100
City
Titusville
State
Florida
Zip
32796-2163
Phone Number
386-852-9565
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
()
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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