=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629489760
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KARA E. GERLING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2014
-----------------------------------------------------
Last Update Date | 05/12/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4300 4TH ST N SUITE C
-----------------------------------------------------
City | SAINT PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33703-4727
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-264-2070
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4300 4TH ST N SUITE C
-----------------------------------------------------
City | SAINT PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33703-4727
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LMHC
-----------------------------------------------------
Name | KARA E. GERLING
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 727-264-2070
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MH10469
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------