MRS. DENISE N CLUBBS LMHC LMFT NPI 1447314018

NPI Information

NPI: 1447314018
Provider Name: MRS. DENISE N CLUBBS, LMHC, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1103 FORTUNE AVE
PANAMA CITY, FL
ZIP 32401
Phone: (850) 769-6188
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MRS. Denise N Clubbs, LMHC, LMFT is a mental health counselor in Panama City, FL. MRS. Denise N Clubbs, LMHC, LMFT NPI is 1447314018. 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:

1103 FORTUNE AVE
PANAMA CITY, FL
ZIP 32401-831
Phone: (850) 769-6188
Fax: (850) 769-1261

The enumeration date for this NPI number is 12/20/2006 and was last updated on 7/8/2007.

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	101YM0800X	Counselor	Mental Health	MH1440	FLORIDA	Yes
2	106H00000X	Marriage & Family Therapist		MT1196	FLORIDA	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z4467	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

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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