1558408344 NPI number — MRS. POTOULA DIAZ MS, LMHC

Table of content: MRS. POTOULA DIAZ MS, LMHC (NPI 1558408344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558408344 NPI number — MRS. POTOULA DIAZ MS, LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DIAZ
Provider First Name:
POTOULA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, 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:
1558408344
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1340 DEER PATH DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OSTEEN
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32764-9824
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-474-8992
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1340 DEER PATH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OSTEEN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32764-9824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-330-7768
Provider Business Practice Location Address Fax Number:
407-330-9287
Provider Enumeration Date:
01/31/2007

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:  MH 6104 , 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)

  • Identifier: 763878700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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