Pack, Diana Sue
Pack, Diana Sue is an sole proprietor health care provider with primary practice located at 1600 W Eau Gallie Blvd Ste 201D , Melbourne FL 32935. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pack, Diana Sue can be contacted via phone (321) 604-9780.Contact Information
Primary practice address
1600 W Eau Gallie Blvd Ste 201D
Melbourne FL 32935
Phone: (321) 604-9780
Fax: (321) 802-6616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH10940 | Florida |
Profile Details
| NPI number | 1346299054 |
|---|---|
| LBN Legal business name | Pack, Diana Sue |
| Credentials | MA, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 18th, 2018 - about 6 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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