Stephen Di Cerbo Lmft Pa
LBN: Stephen Di Cerbo Lmft Pa
Stephen Di Cerbo Lmft Pa is an health care organization with primary practice located at 2781 Majestic Ave , Melbourne FL 32934-7574. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Stephen Di Cerbo Lmft Pa can be contacted via phone (321) 848-3979, or through Di Cerbo, Stephen via phone (321) 848-3979.
Contact Information
Primary practice address
2781 Majestic Ave
Melbourne FL 32934-7574
Phone: (321) 848-3979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1720608219 |
|---|---|
| LBN Legal business name | Stephen Di Cerbo Lmft Pa |
| DBA Doing business as | |
| Authorized official | Di Cerbo, Stephen LMFT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2020 |
| Last updated | Jun 14th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720608219 | NPPES |
| Other | 12664043 | CAQH | |
| MEDICAID | 015336400 | CAQH | |
| Other | 1114260064 | CAQH |
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