Healthcare Provider Details

I. General information

NPI: 1255696803
Provider Name (Legal Business Name): KATHLEEN M. GIERHART, LMHC, P.L.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2012
Last Update Date: 07/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 NW 43RD ST SUITE 2A
GAINESVILLE FL
32606-6675
US

IV. Provider business mailing address

2610 NW 43RD ST SUITE 2A
GAINESVILLE FL
32606-6675
US

V. Phone/Fax

Practice location:
  • Phone: 352-378-0900
  • Fax: 352-378-7849
Mailing address:
  • Phone: 352-378-0900
  • Fax: 352-378-7849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHLEEN M GIERHART
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: DDSM, LMHC, CAP
Phone: 352-378-0900