Valerie Deville, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8104 Issued in FL

Legal business name

VALERIE DEVILLE, LMHC

Practice address

2706 Old Moultrie Rd
St Augustine, FL 32086-5447

Phone

(904) 540-2840

Fax

(904) 461-8368

NPI assigned

Jul 9, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valerie Deville, LMHC

Title

Owner/Operator

Phone

(904) 540-2840

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310169600000",
    "number": "1619264710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLON AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841271",
            "telephone_number": "904-540-2840",
            "fax_number": "904-461-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 OLD MOULTRIE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865447",
            "telephone_number": "904-540-2840",
            "fax_number": "904-461-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE DEVILLE, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2011-07-09",
        "status": "A",
        "authorized_official_last_name": "DEVILLE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-540-2840",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jordin Rae Valenti, DDS
• Liana Raschke Valla
• Megan Claire Valla
• Laura A Van Horn-Nelson, PA
• Katlyn Van Patten, PT, DPT
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• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.