Provider Demographics
NPI:1326678921
Name:BERES, KARA (LMHC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:BERES
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 1:109 LA COSTA ST APT 507
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32951-3479
Mailing Address - Country:US
Mailing Address - Phone:650-703-7096
Mailing Address - Fax:
Practice Address - Street 1:109 LA COSTA ST APT 507
Practice Address - Street 2:
Practice Address - City:MELBOURNE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32951-3479
Practice Address - Country:US
Practice Address - Phone:650-703-7096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21430101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health