Provider Demographics
NPI:1861007601
Name:DEAN, JOSHUALIN DESHAWN (MS, LMHC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JOSHUALIN
Middle Name:DESHAWN
Last Name:DEAN
Suffix:
Gender:F
Credentials:MS, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11410 GREEN HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-6177
Mailing Address - Country:US
Mailing Address - Phone:813-419-7716
Mailing Address - Fax:
Practice Address - Street 1:1106 NIKKI VIEW DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4868
Practice Address - Country:US
Practice Address - Phone:813-264-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH19688101YM0800X
FLMH20899101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIMH19688OtherFLORIDA DEPARTMENT OF HEALTH