Provider Demographics
NPI:1770936023
Name:REGINA PALMER DUBS LCSW LLC
Entity type:Organization
Organization Name:REGINA PALMER DUBS LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:PALMER
Authorized Official - Last Name:DUBS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-351-6441
Mailing Address - Street 1:13901 US HIGHWAY 1
Mailing Address - Street 2:STE. 11
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-1612
Mailing Address - Country:US
Mailing Address - Phone:561-351-6441
Mailing Address - Fax:561-624-4772
Practice Address - Street 1:13901 US HIGHWAY 1
Practice Address - Street 2:STE. 11
Practice Address - City:JUNO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-1612
Practice Address - Country:US
Practice Address - Phone:561-351-6441
Practice Address - Fax:561-624-4772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty