Individual provider · Type 1 NPI

Diane Judith Heribacka, LMFT

Mental Health Counselor · Titusville, FL

NPI number 1700169752 Active

Practice location

6700 S Washington Ave
Titusville, FL 32780-8050

Mailing address

400 Sheridan Rd
Melbourne, FL 32901-3122

Other practice locations

  • 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 · (863) 494-1242

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X35001728A (IN)
Mental Health Counselor Primary 101YM0800XMT3289 (FL)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1700169752

Diane Judith Heribacka, LMFT's National Provider Identifier is 1700169752, issued on Sep 26, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Titusville, FL. The record was last updated on May 14, 2024.