Provider Demographics
NPI:1538447511
Name:MIRABELLA, JOSEPH (LMHC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:MIRABELLA
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 ARTESIA DR. WEST
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113
Mailing Address - Country:US
Mailing Address - Phone:973-495-6664
Mailing Address - Fax:239-331-4674
Practice Address - Street 1:1498 ARTESIA DR. WEST
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113
Practice Address - Country:US
Practice Address - Phone:973-495-6664
Practice Address - Fax:239-331-4674
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10646101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health