| Organization Name: | FAMILY COUNSELING CENTER OF BREVARD INC |
| NPI Number: | 1003876400 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI L PARSONS (PRESIDENT/CEO) |
| Mailing Address: | 505 Brevard Ave Suite 106 Cocoa |
| State: | FL US |
| Postal Code: | 329227973 |
| Phone Number: | 3216325792 |
| Fax Number: | 3216325796 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |