Space Coast Health and Wellness LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SPACE COAST HEALTH AND WELLNESS LLC

Practice address

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

Phone

(321) 425-2424

Fax

(321) 256-5000

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Mae Fleck, ARNP-BC, PMHNP- BCNPI 1639770340

Title

Ceo/ Owner

Phone

(321) 425-2424

Specialties & licenses 3

Addresses

Other names 1

• Space Coast Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Mae Fleck, FNP-BC, PMHNP- BC

  • Nurse Practitioner
  • Melbourne, FL
  • NPI 1639770340
  NPD Authorized official

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1295520898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120161",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329120161",
            "telephone_number": "321-425-2424",
            "fax_number": "321-256-5000"
        },
        {
            "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": "321-425-2424",
            "fax_number": "321-256-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE COAST HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "FLECK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "321-425-2424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP-BC, PMHNP- BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Space Coast Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Space Coast Assisted Living LLC
• Space Coast Behavior Analysis LLC
• Space Coast Corporate Health Service P a
• Space Coast Discovery, Inc.
• Space Coast Ear Nose and Throat Associates
• Space Coast Health Care Network
• Space Coast Health Care Services
• Space Coast Hearing and Balance, Inc.
• Space Coast Nephrology Associates, PLLC
• Space Coast Neuropsychology Center Inc

• Adult Mental Health Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.