Provider Demographics
NPI:1235811779
Name:MONCRIEF, KATHERINE (MS RMHCI)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:MONCRIEF
Suffix:
Gender:F
Credentials:MS RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16950 N BAY RD APT 2310
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4249
Mailing Address - Country:US
Mailing Address - Phone:305-397-6168
Mailing Address - Fax:954-965-4597
Practice Address - Street 1:5124 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6518
Practice Address - Country:US
Practice Address - Phone:954-894-1174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23311101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIMH23311OtherREGISTERED MENTAL HEALTH COUNSELOR INTERN