Healthcare Provider Details

I. General information

NPI: 1831275833
Provider Name (Legal Business Name): DAVID LOUIS KAUS LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 6TH AVE W
BRADENTON FL
34205
US

IV. Provider business mailing address

1756 OAK LAKES DR
SARASOTA FL
34232-3457
US

V. Phone/Fax

Practice location:
  • Phone: 941-782-4100
  • Fax: 941-782-4101
Mailing address:
  • Phone: 941-379-2044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH3343
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: