MEDICARE: KARA BERES LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH21430	FL
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1326678921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA BERES LMHC

Provider Business Mailing Address
First Line	:	109 LA COSTA ST APT 507
Second Line	:
City	:	MELBOURNE BEACH
State	:	FL
Zip	:	32951-3479
Country	:	US
Telephone Number	:	650-703-7096
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 LA COSTA ST APT 507
Second Line	:
City	:	MELBOURNE BEACH
State	:	FL
Zip	:	32951-3479
Country	:	US
Telephone Number	:	650-703-7096
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2020
Last Update Date	:	07/19/2023

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