Provider Demographics
NPI:1154465433
Name:HERMES, RITA ANN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:ANN
Last Name:HERMES
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 1:673 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-2166
Mailing Address - Country:US
Mailing Address - Phone:772-231-7085
Mailing Address - Fax:772-231-7779
Practice Address - Street 1:2806 S US HIGHWAY 1 # 1
Practice Address - Street 2:SUITE C3
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-8109
Practice Address - Country:US
Practice Address - Phone:772-467-3097
Practice Address - Fax:772-467-4666
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5677101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health