Diane Elizabeth Roberts | Brandon, FL • PECOS Search

Diane Elizabeth Roberts

Counselor

Behavioral Health & Social Service Providers

710 Oakfield Dr Ste 203, Brandon, FL 33511-4954

PECOS Enrollment

Based on the most recent information from CMS, provider Diane Elizabeth Roberts does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1235953316
Provider Type
Individual
Full Name
Roberts, Diane Elizabeth
Credential
RMHCI, ATR-P

Sole Proprietor
Yes
Enumeration Date
11/14/2024
Last Updated
11/14/2024

Contact Information

Practice Location

710 Oakfield Dr Ste 203, Brandon, FL 33511-4954

Unlisted Fax

Mailing Location

710 Oakfield Dr Ste 203, Brandon, FL 33511-4954

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License IMH25556 Florida