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NPI Code Detail

MEDICARE: MARIA PAULA DEL CARLO LMHC

MEDICARE: MARIA PAULA DEL CARLO 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 CounselorMH16002FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871083543
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA PAULA DEL CARLO LMHC
Provider Business Mailing Address
First Line : 525 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5400
Country : US
Telephone Number : 850-522-4485
Fax Number : 850-522-4484
Provider Business Practice Location Address
First Line : 525 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5400
Country : US
Telephone Number : 850-522-4485
Fax Number : 850-522-4484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2018
Last Update Date : 05/17/2018

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Directions to “ MARIA PAULA DEL CARLO LMHC” Practice Location

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