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DR. MARIE BRACCIALE PH.D. LMFT CAP NPI 1134599921


NPI Information

NPI: 1134599921
Provider Name: DR. MARIE BRACCIALE, PH.D. , LMFT, CAP
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
600 ELIZABETH PL
SOUTH DAYTONA, FL
ZIP 32119
Phone: (386) 322-6180
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DR. Marie Bracciale, PH.D. , LMFT, CAP is a marriage family therapist in South Daytona, FL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. DR. Marie Bracciale, PH.D. , LMFT, CAP NPI is 1134599921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 ELIZABETH PL
SOUTH DAYTONA, FL
ZIP 32119-824
Phone: (386) 322-6180
Fax: (386) 506-0008

The enumeration date for this NPI number is 10/6/2015 and was last updated on 10/6/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)2517L CAPFLORIDANo
2101YS0200XCounselorSchool481172 DOEFLORIDANo
3106H00000XMarriage & Family TherapistMT 1604FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1765941500MEDICAIDFLORIDA

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

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