Peace Club

LBN: Peace Club Inc.
Peace Club is an health care organization with primary practice located at 1811 S. Orlando Avenue , Cocoa Beach FL 32931. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Peace Club Inc. can be contacted via phone (321) 961-5833, or through Kolsch, Dennis via phone (321) 420-4656.

Contact Information

Primary practice address
1811 S. Orlando Avenue Cocoa Beach FL 32931
Phone: (321) 961-5833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kolsch, Dennis LMHC
Phone: (321) 420-4656

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH13258 Florida
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 1000359 Florida

Profile Details

NPI number 1891206793
LBN Legal business name Peace Club Inc.
DBA Doing business as Peace Club
Authorized official Kolsch, Dennis LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2017
Last updated Jan 24th, 2020 - about 4 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 1891206793 NPPES
Florida Other MH13258 LMHC

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