Healthcare Provider Details

I. General information

NPI: 1841378882
Provider Name (Legal Business Name): GEMMA M CUOMO KAY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GEMMA M KAY LMHC

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 04/25/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYCARE BEHAVIORAL HEALTH 8002 KING HELIE BLVD
NEW PORT RICHEY FL
34653
US

IV. Provider business mailing address

BAYCARE BEHAVIORAL HEALTH 8002 KING HELIE BLVD.
NEW PORT RICHEY FL
34653-4813
US

V. Phone/Fax

Practice location:
  • Phone: 727-315-8743
  • Fax:
Mailing address:
  • Phone: 727-315-8743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 5396
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: