Provider Demographics
NPI:1598326647
Name:DIAZ, DEBBIE LINDA (CASE MANAGEMENT)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:LINDA
Last Name:DIAZ
Suffix:
Gender:F
Credentials:CASE MANAGEMENT
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:LINDA
Other - Last Name:JARAMILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CASE MANAGEMENT
Mailing Address - Street 1:8206 HIDDEN DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-6421
Mailing Address - Country:US
Mailing Address - Phone:956-778-6886
Mailing Address - Fax:210-618-0324
Practice Address - Street 1:315 E JACKSON ST STE 4
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6849
Practice Address - Country:US
Practice Address - Phone:956-778-6886
Practice Address - Fax:210-618-0324
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76451101YP2500X, 171M00000X, 251B00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health