Meredith Kaffee Harts

Individual provider Active NPI Mental Health Counselor · Edgewater, FL

NPI 1073274155 · NPPES record last updated Dec 31, 2021

Key facts

NPI
1073274155
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
IMH19835 (FL)
Practice address
2102 S Ridgewood Ave Ste 17
Edgewater, FL 32141-4230
Phone
(386) 402-8346
NPI assigned
Dec 31, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
IMH19835FLMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH19835 FL Yes

Addresses

Primary practice location

2102 S Ridgewood Ave Ste 17
Edgewater, FL 32141-4230

Mailing address

2102 S Ridgewood Ave Ste 17
Edgewater, FL 32141-4230
Phone (386) 402-8346

Other names

  • Meredith Harts Kaffee Former name

Other providers in Edgewater, FL

All providers in Edgewater, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.