Healthcare Provider Details

I. General information

NPI: 1285173955
Provider Name (Legal Business Name): EMILY JOY CIOFFI MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY JOY CHIODO LMHC

II. Dates (important events)

Enumeration Date: 02/15/2017
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12948 PEMBROKE DR
NAPLES FL
34105-5099
US

IV. Provider business mailing address

12948 PEMBROKE DR
NAPLES FL
34105-5099
US

V. Phone/Fax

Practice location:
  • Phone: 239-919-6755
  • Fax:
Mailing address:
  • Phone: 239-919-6755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH17466
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: