Healthcare Provider Details

I. General information

NPI: 1124667035
Provider Name (Legal Business Name): MARGARET VOTTELER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAGGIE VOTTELER

II. Dates (important events)

Enumeration Date: 12/26/2019
Last Update Date: 09/11/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SE CENTRAL PKWY
STUART FL
34994-5913
US

IV. Provider business mailing address

3862 SW JANIGA ST
PORT ST LUCIE FL
34953-5384
US

V. Phone/Fax

Practice location:
  • Phone: 305-778-5517
  • Fax:
Mailing address:
  • Phone: 305-778-5517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH17604
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMH17604
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: