Charlotte Anna Harts

Individual provider Active NPI Mental Health Counselor · Edgewater, FL

NPI 1215660600 · NPPES record last updated Jul 7, 2022

Key facts

NPI
1215660600
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
IMH20223 (FL)
Practice address
2102 S Ridgewood Ave Ste 17
Edgewater, FL 32141-4230
Phone
(904) 270-9181
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

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
IMH20223FLMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH20223 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 (904) 270-9181

Other names

  • Ms. Charlotte Anna Warta Other 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.