Constance Stamps Dibagio in Jacksonville - Mental Health
Constance Stamps Dibagio - NPI 1821135294
Constance Stamps Dibagio is a Mental Health in Jacksonville, Florida. Constance Stamps Dibagio practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Constance Stamps Dibagio is 1821135294. The last update date is 2007-07-08.
Constance Stamps Dibagio's current location address is 5776 Saint Augustine Rd, Jacksonville, Florida. You can contact this provider via phone number 9044484700 and fax number 9044484717. The mailing address for Constance Stamps Dibagio is 5776 Saint Augustine Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constance Stamps Dibagio |
|---|---|
| Address | 5776 Saint Augustine Rd, Jacksonville, Florida |
| Phone Number | 9044484700 |
| Fax Number | 9044484717 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821135294 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5776 Saint Augustine Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 3220780300 |
| Phone Number | 9044484700 |
| Fax Number | 9044484717 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH8367 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the Constance Stamps Dibagio's 1821135294?
The Constance Stamps Dibagio's NPI (National Provider Identifier) Number is 1821135294. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Constance Stamps Dibagio?
The Constance Stamps Dibagio is physically situated at 5776 Saint Augustine Rd, in the city of Jacksonville, state of FL, with the postal code 3220780300.
What is Constance Stamps Dibagio's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Constance Stamps Dibagio is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date did the Constance Stamps Dibagio receive the assignment of its 1821135294 from the Centers for Medicare & Medicaid Services?
The Constance Stamps Dibagio was issued its 1821135294 by the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date was the information regarding Constance Stamps Dibagio, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Constance Stamps Dibagio, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.