Active NPIIndividual providerSole proprietor

Mariela D Fantauzzi

Counselor, Mental Health in West Palm Beach, Florida

NPI Number1689984809
Practice location
255 Evernia St Apt 1516, West Palm Beach, FL 33401-5691
Fax
—
Last updated
March 11, 2019

Mariela De Lourdes Fantauzzi is a Counselor, Mental Health based in West Palm Beach, FL. Mariela De Lourdes Fantauzzi practices in West Palm Beach, FL. The NPI Number for Mariela De Lourdes Fantauzzi is 1689984809 and holds a License No. MH16747 (FL). The current practice location address for Mariela De Lourdes Fantauzzi is 255 Evernia St Apt 1516, West Palm Beach, FL 33401-5691 and can be reached out via phone at 787-908-0032.

Provider Profile Details

NPI Number
1689984809
Provider Name
Mariela De Lourdes Fantauzzi
Provider Entity Type
Individual
Gender
Female
Address
255 Evernia St Apt 1516, West Palm Beach, FL 33401-5691
Phone Number
787-908-0032
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 21, 2010
Last Update Date
March 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Evernia St Apt 1516
West Palm Beach, FL 33401-5691
State
Florida
Zip
33401-5691
Phone Number
787-908-0032
West Palm Beach, FL 33401Get directions →

Provider Business Mailing Address Details

Address
255 Evernia St Apt 1516
West Palm Beach, FL 33401-5691
City
West Palm Beach
State
FL
Zip
33401-5691
Phone Number
787-908-0032

License Information

License Number
MH16747
License State
FL
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mariela D Fantauzzi?

The NPI number of Mariela D Fantauzzi is 1689984809. It was assigned on October 21, 2010 and is currently active in the NPPES registry.

What is the specialty of Mariela D Fantauzzi?

Mariela D Fantauzzi is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in FL under license number MH16747.

Where does Mariela D Fantauzzi practice?

The practice location is 255 Evernia St Apt 1516, West Palm Beach, FL 33401-5691. The office can be reached at 787-908-0032 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689984809 directly on the NPPES registry website.

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