Burnham Woods Champa & Associates
LBN: Burnham Woods Champa & Associates
Burnham Woods Champa & Associates is an health care organization with primary practice located at 1970 Michigan Ave J 2, Cocoa FL 32922-5758. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty.
Burnham Woods Champa & Associates can be contacted via phone (321) 639-4483, or through Burnham, Gary Francis via phone (321) 639-4483.
Contact Information
Primary practice address
1970 Michigan Ave J 2
Cocoa FL 32922-5758
Phone: (321) 639-4483
Fax: (321) 690-0848
Website:
Authorized official contact:
Name: Burnham, Gary Francis Licensed Clinical Social Worker (LCSW)
Phone: (321) 639-4483
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MH 5004 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 6888 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0004573 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 615 | Florida |
Profile Details
| NPI number | 1851354732 |
|---|---|
| LBN Legal business name | Burnham Woods Champa & Associates |
| DBA Doing business as | |
| Authorized official | Burnham, Gary Francis Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851354732 | NPPES |
| Florida | Other | 39755 | BLUE CROSS BLUE SHIELD |
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