person
Ms. Teresa 'terry' Diak, LMHC
Mental Health Counselor in Brandon, Florida
NPI 1629321484

Teresa 'terry' Diak is a Mental Health Counselor based in Brandon, FL and is specialized in Mental Health. Teresa 'terry' Diak practices in Brandon, FL and has the professional credentials of LMHC. The NPI Number for Teresa 'terry' Diak is 1629321484 and holds a License No. MH4191 (Florida).

The current practice location address for Teresa 'terry' Diak is 505 Eichenfeld Drive, Brandon, FL and can be reached out via phone at 813-689-1895 and via fax at 813-689-4328.

Location: 505 Eichenfeld Drive, Brandon, FL, 33511-5985
person
Provider Profile Details
NPI Number
1629321484
Provider Name
Teresa 'terry' Diak
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
505 Eichenfeld Drive, Brandon, FL, 33511-5985
Phone Number
813-689-1895
Fax Number
813-689-4328
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z050T 01 FL BLUE CROSS, BLUE SHIELD OUT-OF-NETWORK PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
505 Eichenfeld Drive
City
State
Zip
33511-5985
Phone Number
813-689-1895
Fax Number
813-689-4328
person
Provider Business Mailing Address Details
Address
505 Eichenfeld Drive
City
State
Zip
33511-5985
Phone Number
813-689-1895
Fax Number
813-689-4328
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH4191 (Florida)
Definition
Definition to come...
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