Healthcare Provider Details

I. General information

NPI: 1265835201
Provider Name (Legal Business Name): CATHY GHENT MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2014
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 LAKE MIRIAM DR SUITE W-6
LAKELAND FL
33813-2180
US

IV. Provider business mailing address

202 LAKE MIRIAM DR STE W6
LAKELAND FL
33813-2179
US

V. Phone/Fax

Practice location:
  • Phone: 863-370-8082
  • Fax:
Mailing address:
  • Phone: 863-370-8082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberCBHCMS100825
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH16839
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: