MEDICARE: LORIANNA M KARDOK LPCC, 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	E.1600021	OH
2	101YM0800X	Mental Health Counselor	MH13685	FL

General Provider Information

NPI Number	:	1508300328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORIANNA M KARDOK LPCC, LMHC

Provider Business Mailing Address
First Line	:	885 COMMERCE DR
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-5267
Country	:	US
Telephone Number	:	419-330-1349
Fax Number	:

Provider Business Practice Location Address
First Line	:	8565 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-3731
Country	:	US
Telephone Number	:	813-945-9806
Fax Number	:

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

Provider Enumeration Date	:	12/13/2016
Last Update Date	:	02/11/2025

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