Healthcare Provider Details

I. General information

NPI: 1750775243
Provider Name (Legal Business Name): GABRIELA NACCARATO LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 06/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PINELAS STREET
CLEARWATER FL
33756-3804
US

IV. Provider business mailing address

10602 KIDBROOKE CT
TAMPA FL
33626-2546
US

V. Phone/Fax

Practice location:
  • Phone: 727-462-3358
  • Fax: 727-462-3358
Mailing address:
  • Phone: 813-389-4442
  • Fax: 813-635-9725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH13386
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMH13386
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: