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Stephen Di Cerbo Lmft Pa
Adolescent and Children Mental Health Clinic/Center in Melbourne, Florida
NPI 1720608219

Stephen Di Cerbo Lmft Pa is an Adolescent and Children Mental Health Clinic/Center based in Melbourne, FL and is specialized in Adolescent and Children Mental Health. Stephen Di Cerbo Lmft Pa practices in Melbourne, FL. The NPI Number for Stephen Di Cerbo Lmft Pa is 1720608219 and holds a License No. (Florida).

The current practice location address for Stephen Di Cerbo Lmft Pa is 2781 Majestic Ave, Melbourne, FL and can be reached out via phone at 321-848-3979. You can also correspond with Stephen Di Cerbo Lmft Pa through the mailing address at 2781 MAJESTIC AVE, MELBOURNE, FL - 32934-7574 (mailing address contact number: 321-848-3979).

Location: 2781 Majestic Ave, Melbourne, FL, 32934-7574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720608219
Provider Name
Stephen Di Cerbo Lmft Pa
Credential
Provider Entity Type
Organization
Address
2781 Majestic Ave, Melbourne, FL, 32934-7574
Phone Number
321-848-3979
Fax Number
Provider Enumeration Date
04/24/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12664043 01 CAQH
015336400 05 FL
1114260064 01 NPI
institution
Provider Business Practice Location Address Details
Address
2781 Majestic Ave
City
Melbourne
State
Florida
Zip
32934-7574
Phone Number
321-848-3979
Fax Number
person
Provider Business Mailing Address Details
Address
2781 Majestic Ave
City
Melbourne
State
Florida
Zip
32934-7574
Phone Number
321-848-3979
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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