Healthcare Provider Details

I. General information

NPI: 1669213682
Provider Name (Legal Business Name): KATE ELIZABETH HUTCHINSON RCMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 STANFORD CT STE 601
NAPLES FL
34112-4841
US

IV. Provider business mailing address

7804 ORVIETO CT
NAPLES FL
34114-2626
US

V. Phone/Fax

Practice location:
  • Phone: 203-980-3477
  • Fax:
Mailing address:
  • Phone: 203-980-3477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH25917
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: