Mental Health Resource Center Inc
Organization Active NPI Community Health Clinic/Center · Rockledge, FL
NPI 1043880909 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1043880909
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- MENTAL HEALTH RESOURCE CENTER INC
- Practice address
- 500 Barton Blvd Ste 7
Rockledge, FL 32955-3172 - Phone
- (321) 504-3888
- Fax
- (321) 504-3462
- NPI assigned
- Jul 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Robert Sommers, PH.D
- Title
- President/Ceo
- Phone
- (904) 743-1883
Corporate family (same tax ID) 8
Practitioners 5
-
Brooke Lee Altonaga, LCSW
-
Chelsea McCormick, LCSW
-
Kimberly Erin Miles, LMHC
-
Benjamin Lye, M.D.
-
Sakinah A. Nemati, MSN, ARNP, BC
National Provider Directory
- Tax ID family
- Mental Health Resource Center Inc
Locations
500 Barton Blvd
Ste 7
Rockledge, FL 32955
Phone (321) 504-3888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Yes |
Addresses
Primary practice location
500 Barton Blvd Ste 7
Rockledge, FL 32955-3172
Mailing address
PO Box 19249
Jacksonville, FL 32245-9249
Phone (904) 743-1883
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99464 | Other | FL | MEDICARE |
Other providers in Rockledge, FL
- Kaitlyn Shea Mellick
- Jessica Melton
- Lorymar Mendez
- Laura Marie Mendoza
- Rebecca Mendoza
- Herbert Mercado
- Elizabeth Anne Meredith
- Justin Merritt
- Sandra Merritt
- Stephanie Felicia Merritt
All providers in Rockledge, FL · Community Health Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.