DERICK BUGG NCC
NPI 1629564976
Counselor - Mental Health in Umatilla, FL
Active since July 10, 2018
About Derick Bugg Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERICK BUGG NCC (NPI 1629564976) is an individual mental health provider in Umatilla, Florida and active in the NPI registry since July 2018.
NPPES Registry Identity
NPI1629564976
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERICK BUGGCredential: NCC
Location Address19201 TWIN PONDS RDUmatilla, FL 32784-9220
Mailing Address19201 Twin Ponds RdUmatilla, FL 32784-9220 · (480) 747-5168
Phone(480) 747-5168
Sole ProprietorYes
Enumeration DateJuly 10, 2018
✔ NPI 1629564976 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
19201 TWIN PONDS RD, Umatilla, FL 32784
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629564976, enumerated as an "individual" on July 10, 2018.
The provider is located at 19201 TWIN PONDS RD UMATILLA, FL 32784 and the phone number is (480) 747-5168.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
