Healthcare Provider Details

I. General information

NPI: 1386703577
Provider Name (Legal Business Name): CHRISTINE KADIN LMHC, CAP, CCTP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 04/06/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SE OCEAN BLVD
STUART FL
34994-2331
US

IV. Provider business mailing address

337 NW TUSCANY WAY
PORT ST LUCIE FL
34986-2151
US

V. Phone/Fax

Practice location:
  • Phone: 772-333-1279
  • Fax:
Mailing address:
  • Phone: 772-333-1279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH-5461
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number641000
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: