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Joshualin Deshawn Dean

Counselor

Behavioral Health & Social Service Providers

1106 Nikki View Dr, Brandon, FL 33511-4868

PECOS Enrollment

This provider is enrolled in PECOS as JOSHUALIN DEAN.

Based on the most recent information from CMS, provider Joshualin Deshawn Dean is legally eligible to order and refer claims for DME services only.

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

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

Profile Details

Provider ID
1861007601
Provider Type
Individual
Full Name
Dean, Joshualin Deshawn
Title
Mrs.
Credential
MS, LMHC, NCC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/9/2020
Last Updated
2/8/2023

Contact Information

Practice Location

1106 Nikki View Dr, Brandon, FL 33511-4868

(813) 264-9955

Unlisted Fax

Mailing Location

11410 Green Harvest Dr, Riverview, FL 33578-6177

(813) 419-7716

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH20899 Florida
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License IMH19688 Florida

Joshualin Deshawn Dean

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

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