Jamie Lynn Dimacchia Llc | |
323 Forrest Crest Ct Ocoee FL 34761-4009 | |
(440) 371-9084 | |
Not Available |
Full Name | Jamie Lynn Dimacchia Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 323 Forrest Crest Ct, Ocoee, Florida |
Authorized Official Name and Position | Jamie Dimacchia (OWNER/THERAPIST) |
Authorized Official Contact | 4403719084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jamie Lynn Dimacchia Llc 323 Forrest Crest Ct Ocoee FL 34761-4009 Ph: (440) 371-9084 | Jamie Lynn Dimacchia Llc 323 Forrest Crest Ct Ocoee FL 34761-4009 Ph: (440) 371-9084 |
NPI Number | 1952993859 |
---|---|
Provider Enumeration Date | 02/11/2021 |
Last Update Date | 02/11/2021 |
Certification Date | 02/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952993859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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