Healthcare Provider Details

I. General information

NPI: 1528399839
Provider Name (Legal Business Name): KERLINE GELIN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 W 20TH AVE
HIALEAH FL
33012-5874
US

IV. Provider business mailing address

1256 FISHERMAN ST
OPA LOCKA FL
33054-3625
US

V. Phone/Fax

Practice location:
  • Phone: 305-817-6567
  • Fax:
Mailing address:
  • Phone: 305-336-9830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH10132
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: