Potoula Diaz is a Mental Health in Osteen, Florida. Potoula Diaz practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Potoula Diaz is 1558408344. The last update date is 2022-12-16.
Potoula Diaz's current location address is 1340 Deer Path Dr, Osteen, Florida. You can contact this provider via phone number 4074748992. The mailing address for Potoula Diaz is 1340 Deer Path Dr, Osteen, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Potoula Diaz |
|---|---|
| Address | 1340 Deer Path Dr, Osteen, Florida |
| Phone Number | 4074748992 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, LMHC |
NPI Number Detail
| NPI Number | 1558408344 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2022-12-16 |
Provider Mailing Address Detail
| Address | 1340 Deer Path Dr |
|---|---|
| City | Osteen |
| State | Florida (FL) |
| Post Code | 327649824 |
| Phone Number | 4074748992 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH 6104 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 763878700 | FL | -- |
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What is the unique 10-digit identifier code issued to Potoula Diaz by the Centers for Medicare & Medicaid Services?
The Potoula Diaz has been assigned the NPI (National Provider Identifier) 1558408344 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Potoula Diaz is physically located?
The Potoula Diaz is situated at the following address: 1340 Deer Path Dr, Osteen, FL 327649824.
What is Potoula Diaz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Potoula Diaz's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558408344 to Potoula Diaz?
The Potoula Diaz received its 1558408344 assignment from the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date was the information regarding Potoula Diaz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Potoula Diaz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-12-16.