Progressive Healthcare Of Brevard, Llc

LBN: Progressive Healthcare Of Brevard, Llc
Progressive Healthcare Of Brevard, Llc is an health care organization with primary practice located at 5972 Goleta Cir , Melbourne FL 32940-8035. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Progressive Healthcare Of Brevard, Llc can be contacted via phone (321) 615-0990, or through Mundorf, Gwen via phone (321) 615-0990.

Contact Information

Primary practice address
5972 Goleta Cir Melbourne FL 32940-8035
Phone: (321) 615-0990
Fax: (888) 341-8272
Website:
Map and Directions
Authorized official contact:
Name: Mundorf, Gwen Licensed Clinical Social Worker (LCSW)
Phone: (321) 615-0990

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1134769698
LBN Legal business name Progressive Healthcare Of Brevard, Llc
DBA Doing business as
Authorized official Mundorf, Gwen Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2020
Last updated Jan 13th, 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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