Provider Demographics
NPI:1003860859
Name:KAY, CHARLOTTE VEVERA (MS LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:VEVERA
Last Name:KAY
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 SHORELANDS DR E
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-2672
Mailing Address - Country:US
Mailing Address - Phone:772-234-5149
Mailing Address - Fax:
Practice Address - Street 1:1500 36TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7323
Practice Address - Country:US
Practice Address - Phone:772-564-0406
Practice Address - Fax:772-564-0407
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH#3820101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health