Provider Demographics
NPI:1477856185
Name:PARO, CARLY ANN (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:CARLY
Middle Name:ANN
Last Name:PARO
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 1:450 TREASURE ISLAND CSWY APT 710
Mailing Address - Street 2:
Mailing Address - City:TREASURE ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33706-1138
Mailing Address - Country:US
Mailing Address - Phone:407-924-7653
Mailing Address - Fax:
Practice Address - Street 1:8800 49TH ST STE 212
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5339
Practice Address - Country:US
Practice Address - Phone:407-924-7653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10856101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health