DEBRA DUBOSE LCSW NPI 1083161392

NPI Information

NPI: 1083161392
Provider Name: DEBRA DUBOSE, LCSW
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3109 E BRAINERD ST
PENSACOLA, FL
ZIP 32503
Phone: (850) 748-1647
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DEBRA DUBOSE, LCSW is a mental health (including community mental health center) clinic center in Pensacola, FL. DEBRA DUBOSE, LCSW NPI is 1083161392. The provider is registered as an organization entity type.

The provider's business location address is:

3109 E BRAINERD ST
PENSACOLA, FL
ZIP 32503-807
Phone: (850) 748-1647
Fax: (850) 436-4909

The provider's authorized official is Debra Powell Dubose .
The authorized official title is Licensed Clinical Social Worker and has the following contact phone number (850) 748-1647.

The enumeration date for this NPI number is 9/2/2016 and was last updated on 9/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	SW4505	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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