Provider Demographics
NPI:1306605373
Name:ROLINS, DILIAN (RMHI)
Entity type:Individual
Prefix:
First Name:DILIAN
Middle Name:
Last Name:ROLINS
Suffix:
Gender:F
Credentials:RMHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 LIMA CT
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:CA
Mailing Address - Zip Code:93250-0066
Mailing Address - Country:US
Mailing Address - Phone:310-760-6468
Mailing Address - Fax:
Practice Address - Street 1:2595 KITTBUCK WAY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-5700
Practice Address - Country:US
Practice Address - Phone:561-725-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20747101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health