Etheridge Family Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ETHERIDGE FAMILY COUNSELING, LLC

Doing business as

Cora Etheridge

Practice address

3040 N Wickham Rd Ste 3
Melbourne, FL 32935-2369

Phone

(321) 324-8147

NPI assigned

Nov 27, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cora Ann Etheridge, LMHCNPI 1922471440

Title

Licensed Mental Health Counselor

Phone

(321) 324-8147

Specialties & licenses 1

Addresses

Other names 1

• Cora Etheridge Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cora Ann Etheridge, LMHC

  • Mental Health Counselor
  • Melbourne, FL
  • NPI 1922471440
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1275309734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 WINDING MEADOWS RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558404",
            "telephone_number": "321-223-3376",
            "fax_number": "321-633-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N WICKHAM RD STE 3",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352369",
            "telephone_number": "321-324-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHERIDGE FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "CORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "321-324-8147",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cora Etheridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Espinoza, CRNA
• Christy Lee Estes, PHD
• Phillip Estes, DMD
• Aleecia Estime
• Jose Estupinan, CSA
• Cora Ann Etheridge, LMHC
• Ethos Health Melbourne LLC
• Lacey Eubank
• Marileen Eubanks
• Stephanie Evanoff, PHARMD, RPH

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.