Organization · NPI-2

Jamie Lynn Dimacchia LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Ocoee, FL

NPI number1952993859
StatusActive
Last updated in NPPESFeb 11, 2021

Details

NPI
1952993859
Entity type
Organization (NPI-2)
Legal business name
Jamie Lynn Dimacchia LLC
Organization subpart
No
Enumeration date
Feb 11, 2021
Certification date
Feb 11, 2021
Last updated
Feb 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Freshchapter Counseling (Doing Business As)

Practice location

323 Forrest Crest Ct
Ocoee, FL 34761-4009

Phone 440-371-9084

Mailing address

323 Forrest Crest Ct
Ocoee, FL 34761-4009

Phone 440-371-9084

Authorized official

Jamie Dimacchia
Owner/Therapist
4403719084

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