Provider Demographics
NPI:1588043558
Name:MORANO, KERRI (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:KERRI
Middle Name:
Last Name:MORANO
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 1:1777 TAMIAMI TRAIL
Mailing Address - Street 2:SUITE 303 OFFICE 10
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-7728
Mailing Address - Country:US
Mailing Address - Phone:845-489-5277
Mailing Address - Fax:
Practice Address - Street 1:1777 TAMIAMI TRAIL
Practice Address - Street 2:SUITE 303 OFFICE 10
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-7728
Practice Address - Country:US
Practice Address - Phone:727-344-9639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-24
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008280101YM0800X
FLMH18733101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health