1003381096 NPI number — MRS. CARMEN LYDIA DEL VALLE-IZURIETA LMHC

Table of content: MRS. CARMEN LYDIA DEL VALLE-IZURIETA LMHC (NPI 1003381096)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003381096 NPI number — MRS. CARMEN LYDIA DEL VALLE-IZURIETA LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DEL VALLE-IZURIETA
Provider First Name:
CARMEN
Provider Middle Name:
LYDIA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003381096
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9838 OLD BAYMEADOWS RD # 182
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32256-8101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-923-3031
Provider Business Mailing Address Fax Number:
904-592-8681

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2950 HALCYON LN STE 701
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32223-6692
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-923-3031
Provider Business Practice Location Address Fax Number:
904-592-8681
Provider Enumeration Date:
10/05/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MH16334 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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