| Jamie Lynn Dimacchia Llc | |
|
323 Forrest Crest Ct Ocoee FL 34761-4009 | |
| (440) 371-9084 | |
| Not Available |
| Full Name | Jamie Lynn Dimacchia Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 323 Forrest Crest Ct, Ocoee, Florida |
| Authorized Official Name and Position | Jamie Dimacchia (OWNER/THERAPIST) |
| Authorized Official Contact | 4403719084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Lynn Dimacchia Llc 323 Forrest Crest Ct Ocoee FL 34761-4009 Ph: (440) 371-9084 | Jamie Lynn Dimacchia Llc 323 Forrest Crest Ct Ocoee FL 34761-4009 Ph: (440) 371-9084 |
| NPI Number | 1952993859 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952993859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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