Provider Demographics
NPI:1558471706
Name:POSEY-KERLIN, VICKIE L (LMHC)
Entity Type:Individual
Prefix:MS
First Name:VICKIE
Middle Name:L
Last Name:POSEY-KERLIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:VICKIE
Other - Middle Name:L
Other - Last Name:KERLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:5153 ISLA KEY BLVD S APT 417
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33715-1685
Mailing Address - Country:US
Mailing Address - Phone:405-365-8778
Mailing Address - Fax:
Practice Address - Street 1:5153 ISLA KEY BLVD S APT 417
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33715-1685
Practice Address - Country:US
Practice Address - Phone:405-365-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-5010101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL762162100Medicaid