SPACE COAST HEALTH AND WELLNESS LLC
NPI 1295520898
Clinic/Center - Adult Mental Health in Melbourne, FL

Q: What is Space Coast Health And Wellness LLC's NPI number?

The NPI number for Space Coast Health And Wellness LLC is 1295520898. It was assigned to this organization in the NPPES registry on April 14, 2025. The provider is doing business as Space Coast Health.

Q: What is Space Coast Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since April 14, 2025

3040 N WICKHAM RD STE 3, MELBOURNE, FL 32935(321) 425-2424(321) 256-5000 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Space Coast Health And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPACE COAST HEALTH AND WELLNESS LLC (NPI 1295520898), doing business as Space Coast Health, is a healthcare organization registered as an adult mental health in Melbourne, Florida and active in the NPI registry since April 2025. The organization lists Ashley Mae Fleck, Ceo/ Owner, as its authorized official.

NPPES Registry Identity

NPI1295520898

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameSPACE COAST HEALTH AND WELLNESS LLC

Location Address3040 N WICKHAM RD STE 3Melbourne, FL 32935-2369

Mailing AddressPo Box 120161Melbourne, FL 32912-0161 · (321) 425-2424 · Fax (321) 256-5000

Phone(321) 425-2424

Fax(321) 256-5000

Organization SubpartNo

Authorized OfficialAshley Mae FleckCeo/ Owner · (321) 425-2424

Enumeration DateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1295520898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

3040 N WICKHAM RD STE 3, Melbourne, FL 32935

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Other Names 1

Doing Business AsSpace Coast Health

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ETHERIDGE FAMILY COUNSELING, LLC

Counselor (Mental Health)