Healthcare Provider Details

I. General information

NPI: 1487614582
Provider Name (Legal Business Name): CHERYL MARIELLE KANTZLER MS, LMHC/LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: C. MARIELLE KANTZLER LMHC/LMFT

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 WHARF RD
SARASOTA FL
34231-6646
US

IV. Provider business mailing address

1726 WHARF RD
SARASOTA FL
34231-6646
US

V. Phone/Fax

Practice location:
  • Phone: 941-313-1878
  • Fax: 941-231-2103
Mailing address:
  • Phone: 941-313-1878
  • Fax: 941-231-2103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMH5001
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 9749
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: