VIERGE AUDREY SELEXANT
NPI 1710616818
Counselor - Mental Health in West Melbourne, FL
Active since June 06, 2022
About Vierge Audrey Selexant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIERGE AUDREY SELEXANT (NPI 1710616818) is an individual mental health provider in West Melbourne, Florida and active in the NPI registry since June 2022.
NPPES Registry Identity
NPI1710616818
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVIERGE AUDREY SELEXANT
Location Address1924 DAIRY RDWest Melbourne, FL 32904-4046
Mailing Address1924 Dairy RdWest Melbourne, FL 32904-4046 · (321) 615-2171
Phone(321) 615-2171
Sole ProprietorYes
Enumeration DateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1710616818 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1924 DAIRY RD, West Melbourne, FL 32904
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
1924 DAIRY RD
WEST MELBOURNE, FL 32904
WEST MELBOURNE, FL 32904
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710616818, enumerated as an "individual" on June 06, 2022.
The provider is located at 1924 DAIRY RD WEST MELBOURNE, FL 32904 and the phone number is (321) 615-2171.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
