Provider Demographics
NPI:1598333494
Name:GELCH, KAREN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:GELCH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 S UNIVERSITY DR STE 200B
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3811
Mailing Address - Country:US
Mailing Address - Phone:954-895-0715
Mailing Address - Fax:
Practice Address - Street 1:4900 S UNIVERSITY DR STE 200B
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3811
Practice Address - Country:US
Practice Address - Phone:954-895-0715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3953106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist