Provider Demographics
NPI:1194855783
Name:ERWIN, KATHIE T (LMHC, NCP, NCC)
Entity Type:Individual
Prefix:DR
First Name:KATHIE
Middle Name:T
Last Name:ERWIN
Suffix:
Gender:F
Credentials:LMHC, NCP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 ORANGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-4077
Mailing Address - Country:US
Mailing Address - Phone:727-744-5044
Mailing Address - Fax:727-581-4575
Practice Address - Street 1:11633 137 STREET NORTH
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774
Practice Address - Country:US
Practice Address - Phone:727-744-5044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMCH 2645101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health