Diana Sue Pack in Melbourne - Mental Health

Diana Sue Pack - NPI 1346299054

Diana Sue Pack is a Mental Health in Melbourne, Florida. Diana Sue Pack practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Diana Sue Pack is 1346299054. The last update date is 2018-07-18.

Diana Sue Pack's current location address is 1600 W Eau Gallie Blvd Ste 201d, Melbourne, Florida. You can contact this provider via phone number 3216049780 and fax number 3218026616. The mailing address for Diana Sue Pack is 1600 W Eau Gallie Blvd Ste 201d, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Diana Sue Pack
Address 1600 W Eau Gallie Blvd Ste 201d, Melbourne, Florida
Phone Number 3216049780
Fax Number 3218026616
Sole Proprietor Y
Credentials MA, LMHC

NPI Number Detail

NPI Number 1346299054
Provider Enumeration Date 2006-05-09
Last Updated Date 2018-07-18

Provider Mailing Address Detail

Address 1600 W Eau Gallie Blvd Ste 201d
City Melbourne
State Florida (FL)
Post Code 329354149
Phone Number 3216049780
Fax Number 3218026616

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No MH10940
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Diana Sue Pack

What is the unique provider identifier assigned to Diana Sue Pack?

The Diana Sue Pack has been issued the NPI (National Provider Identifier) 1346299054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Diana Sue Pack's facilities are geographically located?

The facilities of Diana Sue Pack are physically situated at the following location: 1600 W Eau Gallie Blvd Ste 201D, Melbourne, FL, 329354149.

What is the Diana Sue Pack's specialty and taxonomy code?

The Diana Sue Pack's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.

When did the Diana Sue Pack receive its 1346299054?

The Diana Sue Pack was issued its 1346299054 on 2006-05-09, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Diana Sue Pack last refreshed?

The information related to the Diana Sue Pack, including its address, specialty, and other relevant details, was last updated on 2018-07-18.

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