=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679486856
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KEIRA LYNN DALESSIO RMHCI
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2026
-----------------------------------------------------
Last Update Date | 09/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3100 S FEDERAL HWY STE C
-----------------------------------------------------
City | DELRAY BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33483-3321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-408-1098
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5400 BROKEN SOUND BLVD NW APT 623 APT 623
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33487-3728
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-850-8879
-----------------------------------------------------
Fax | 732-850-8879
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 35428
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------