MEDICARE: CHRISTINA LEE DILEY MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	IMH28186	FL

General Provider Information

NPI Number	:	1356283329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA LEE DILEY MS

Provider Business Mailing Address
First Line	:	4148 BECKY ST
Second Line	:
City	:	MIDDLEBURG
State	:	FL
Zip	:	32068-7101
Country	:	US
Telephone Number	:	904-206-7499
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 E FORSYTH ST STE F
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32202-3364
Country	:	US
Telephone Number	:	904-206-7499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ CHRISTINA LEE DILEY MS” Practice Location

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