| Diana Carbone Llc | |
|
32620 Hastings Dr Lewes DE 19958-4869 | |
| (302) 212-9192 | |
| Not Available |
| Full Name | Diana Carbone Llc |
|---|---|
| Speciality | Counselor |
| Location | 32620 Hastings Dr, Lewes, Delaware |
| Authorized Official Name and Position | Diana Carbone (OWNER) |
| Authorized Official Contact | 3022129192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Carbone Llc 32620 Hastings Dr Lewes DE 19958-4869 Ph: (302) 212-9192 | Diana Carbone Llc 32620 Hastings Dr Lewes DE 19958-4869 Ph: (302) 212-9192 |
| NPI Number | 1558117242 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 9133560006 |
|---|---|
| Medicare Enrollment ID | O20240509000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558117242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Diana Carbone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992079487 PECOS PAC ID: 3678944261 Enrollment ID: I20240109002289 |
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