Healthcare Provider Details

I. General information

NPI: 1942839006
Provider Name (Legal Business Name): VICKI MISNER GARNER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VICKI LYNN MISNER

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 12/31/2020
Certification Date: 12/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1437 S BELCHER RD
CLEARWATER FL
33764-2829
US

IV. Provider business mailing address

213 NOB HILL CIR
LONGWOOD FL
32779-4430
US

V. Phone/Fax

Practice location:
  • Phone: 727-524-4464
  • Fax:
Mailing address:
  • Phone: 407-454-0574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: