Healthcare Provider Details

I. General information

NPI: 1659106755
Provider Name (Legal Business Name): DE LIMA COUNSELING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 FRONT ST STE 300
JUPITER FL
33477-5095
US

IV. Provider business mailing address

131 PENNOCK LANDING CIR
JUPITER FL
33458-4019
US

V. Phone/Fax

Practice location:
  • Phone: 561-972-7195
  • Fax:
Mailing address:
  • Phone: 561-201-8209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANNA LISA DE LIMA
Title or Position: OWNER
Credential: PHD, LMHC, LPC
Phone: 561-201-8209