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NPI Code Detail

MEDICARE: CAMELLA CIABATTONI LMHC

MEDICARE: CAMELLA CIABATTONI 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
1101YM0800XMental Health CounselorMH25397FL

General Provider Information

NPI Number : 1790342343
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMELLA CIABATTONI LMHC
Provider Business Mailing Address
First Line : 475 BLACKWATER RD
Second Line :
City : SAINT GEORGE
State : GA
Zip : 31562-2522
Country : US
Telephone Number : 407-227-7750
Fax Number : 904-765-0664
Provider Business Practice Location Address
First Line : 2055 REYKO RD STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-2828
Country : US
Telephone Number : 239-690-6906
Fax Number : 904-765-0664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2019
Last Update Date : 03/26/2025

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Directions to “ CAMELLA CIABATTONI LMHC” Practice Location

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