Provider Demographics
NPI:1003060245
Name:GONNERING, CHARLOTTE H (LMHC)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:H
Last Name:GONNERING
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 W CYPRESS ST STE H
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1785
Mailing Address - Country:US
Mailing Address - Phone:813-281-0123
Mailing Address - Fax:813-281-0283
Practice Address - Street 1:5820 W CYPRESS ST STE H
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1785
Practice Address - Country:US
Practice Address - Phone:813-281-0123
Practice Address - Fax:813-281-0283
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker