Stephen Di Cerbo Lmft Pa

LBN: Stephen Di Cerbo Lmft Pa
Stephen Di Cerbo Lmft Pa is an health care organization with primary practice located at 2781 Majestic Ave , Melbourne FL 32934-7574. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Stephen Di Cerbo Lmft Pa can be contacted via phone (321) 848-3979, or through Di Cerbo, Stephen via phone (321) 848-3979.

Contact Information

Primary practice address
2781 Majestic Ave Melbourne FL 32934-7574
Phone: (321) 848-3979
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Di Cerbo, Stephen LMFT
Phone: (321) 848-3979

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1720608219
LBN Legal business name Stephen Di Cerbo Lmft Pa
DBA Doing business as
Authorized official Di Cerbo, Stephen LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2020
Last updated Jun 14th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720608219 NPPES
Other 12664043 CAQH
MEDICAID 015336400 CAQH
Other 1114260064 CAQH

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