Connie Porter-Richard, LMHC
Individual provider Active NPI Mental Health Counselor · Rockledge, FL
NPI 1215987136 · NPPES record last updated Mar 24, 2008
Key facts
- NPI
- 1215987136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH3802 (FL)
- Practice address
- 845 Executive LN
Suite 100
Rockledge, FL 32955-3528 - Phone
- (321) 631-5538
- Fax
- (321) 631-5154
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH3802 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discovery Institute, P.a. | Mental Health | Past | Accepting new patients |
| Marilyn Bennett, LMHC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH3802 | FL | Yes |
Addresses
Primary practice location
845 Executive LN
Suite 100
Rockledge, FL 32955-3528
Mailing address
PO Box 560875
Rockledge, FL 32956-0875
Phone (321) 631-5538
Other providers in Rockledge, FL
- Jennifer Polanco-Nieves
- Elizabeth Polomsky
- Eric Pomales
- Edwin S. Pont
- Melinda L Poole
- Christine Ann Posada
- Positive Behavioral Outcomes Inc
- Penny Louise Potter
- Angela K Potucek
- Christy Lynne Powell
All providers in Rockledge, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2008. 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.