Blue Wave Counseling

LBN: Blue Wave Counseling
Blue Wave Counseling is an health care organization with primary practice located at 330 N Babcock St Suite 102, Melbourne FL 32935-7324. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Blue Wave Counseling can be contacted via phone (321) 313-1745, or through Jordan, Julie K via phone (321) 313-1745.

Contact Information

Primary practice address
330 N Babcock St Suite 102 Melbourne FL 32935-7324
Phone: (321) 313-1745
Fax: (321) 428-3358
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Julie K LMHC
Phone: (321) 313-1745

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH-9263 Florida

Profile Details

NPI number 1801252515
LBN Legal business name Blue Wave Counseling
DBA Doing business as
Authorized official Jordan, Julie K LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2016
Last updated Jan 11th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801252515 NPPES
Florida MEDICAID 001041900

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