Provider Demographics
NPI:1184837502
Name:PAUIG-BREESE, DIONA DOMINGA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DIONA
Middle Name:DOMINGA
Last Name:PAUIG-BREESE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 BELTED KINGFISHER DR S
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-6678
Mailing Address - Country:US
Mailing Address - Phone:727-510-1634
Mailing Address - Fax:727-772-6033
Practice Address - Street 1:2623 MCCORMICK DR
Practice Address - Street 2:STE 2
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-1046
Practice Address - Country:US
Practice Address - Phone:727-510-1634
Practice Address - Fax:727-772-6033
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health