MS. JUDA MARIE DECARA (NPI# 1548513310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548513310 |
| Entity Type | Individual |
| Full Name | MS. JUDA MARIE DECARA |
| Credential | MA,NCC,CCMHC |
| Practice Address |
4690 Lipscomb St Se Suite 6c Palm Bay FL 32905 |
| Mailing Address |
994 Sedgewood Cir Melbourne FL 32904-8037 |
| Practice Telephone | 8137677884 |
| Practice Fax Number | 3215745417 |
| Mailing Telephone | 8137677884 |
| Mailing Fax Number | 3215745417 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2014-11-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | IMH9063 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH9063 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4690 LIPSCOMB ST SE SUITE 6C |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| 1003186040 | Julie Artley | Pharmacist | 1213 Palm Bay Rd, Ne, Melbourne, FL 32905 | 2012-01-09 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618701 | Jodie Renee Rostas | Counselor | 960 Fulton Ln Ne, Palm Bay, FL 32905-5517 | 2020-08-05 |
| 1831716687 | Leslie Sikaffy | Counselor | 281 Clearbrook Ter Ne, Palm Bay, FL 32907-5579 | 2020-06-28 |
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1073144648 | Angela Marie Taylor | Counselor | 154 Mayfair St Se, Palm Bay, FL 32909-4359 | 2020-01-31 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1356884167 | Rachel Clemons | Counselor | 2550 Palm Bay Rd Ne Ste 212, Palm Bay, FL 32905-3566 | 2016-11-28 |
| 1700328077 | Leon Bell | Counselor | 1939 Jupiter Blvd Sw, Palm Bay, FL 32908-3330 | 2016-11-17 |
| 1922557875 | Carolyn Calloway Jennings | Counselor | 126 Billiar Ave Ne, Palm Bay, FL 32907-5562 | 2016-10-03 |
| 1437603081 | Crystal Rose Rogers | Counselor | 170 Maywood Ave Nw, Palm Bay, FL 32907-2967 | 2016-08-12 |
| 1760844807 | Tamara Harris | Counselor | 251 Medea Ave Nw, Palm Bay, FL 32907-2920 | 2016-03-28 |
| Find all providers in PALM BAY | ||||
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| 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.