Healthcare Provider Details

I. General information

NPI: 1700138005
Provider Name (Legal Business Name): CAROLEE ALINE BINETTE MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2012
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 NANTUCKET CT
PALM HARBOR FL
34683-6436
US

IV. Provider business mailing address

1702 NANTUCKET CT
PALM HARBOR FL
34683-6436
US

V. Phone/Fax

Practice location:
  • Phone: 727-503-1166
  • Fax:
Mailing address:
  • Phone: 727-808-6074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH13487
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: