Dimino, Tabitha Grant

Dimino, Tabitha Grant is an individual health care provider with primary practice located at 1717 20Th St Ste 102 , Vero Beach FL 32960-0619. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Dimino, Tabitha Grant can be contacted via phone (772) 584-2501.

Contact Information

Primary practice address
1717 20Th St Ste 102 Vero Beach FL 32960-0619
Phone: (772) 584-2501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ADC-010451-2015 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH10719 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT3149 Florida

Profile Details

NPI number 1487912705
LBN Legal business name Dimino, Tabitha Grant
Credentials LMFT, MCAP, ICRC-ADA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Aug 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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