Provider Demographics
NPI:1770280539
Name:LOMBARDI, DORRIE (LMHC)
Entity type:Individual
Prefix:
First Name:DORRIE
Middle Name:
Last Name:LOMBARDI
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 1:324 CHICASAW CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32259-4327
Mailing Address - Country:US
Mailing Address - Phone:954-647-3389
Mailing Address - Fax:
Practice Address - Street 1:324 CHICASAW CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32259-4327
Practice Address - Country:US
Practice Address - Phone:954-647-3389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health