Individual provider · Type 1 NPI

Karen Sofia Romero Diaz Bautista

Mental Health Counselor · Jacksonville, FL

NPI number 1013689298 Active

Practice location

5776 Saint Augustine Rd
Jacksonville, FL 32207-8046

Call (904) 448-4700 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X24837 (FL)
Mental Health Counselor 101YM0800XNone listed
Behavior Technician 106S00000XNone listed

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About NPI 1013689298

Karen Sofia Romero Diaz Bautista's National Provider Identifier is 1013689298, issued on Oct 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 5, 2025.