MEDICARE: VALERIE CATHERINE DEVILLE LMHC

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	MH8104	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z086F	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427047901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE CATHERINE DEVILLE LMHC

Provider Business Mailing Address
First Line	:	419 GLORIA ST
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-7835
Country	:	US
Telephone Number	:	904-540-2840
Fax Number	:	904-209-5132

Provider Business Practice Location Address
First Line	:	2225 A1A SO
Second Line	:	STE B5
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32080-7906
Country	:	US
Telephone Number	:	904-540-2840
Fax Number	:	904-209-5132

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	05/27/2025

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