LINDY SUSAN DIFFENBAUGH


Address: 9951 Atlantic Blvd, 121, Jacksonville, FL 32225-6584
Phone: 9044630930

LINDY SUSAN DIFFENBAUGH (NPI# 1427122506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427122506
Entity Type Individual
Full Name LINDY SUSAN DIFFENBAUGH
Credential LMHC
Practice Address 9951 Atlantic Blvd
121
Jacksonville
FL 32225-6584
Practice Telephone 9044630930
Practice Fax Number 9047223017
Mailing Telephone 9044630930
Mailing Fax Number 9047223017
Enumeration Date 2006-11-20
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH7034 FL Behavioral Health & Social Service Providers

Office Location

Street Address 9951 ATLANTIC BLVD
121
City JACKSONVILLE
State FL
Zip Code 32225-6584

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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