Provider Demographics
NPI:1710382171
Name:KATAN, GLADYS R. PACHECO (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:GLADYS R.
Middle Name:PACHECO
Last Name:KATAN
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 1:9260 BAY HARBOR TER
Mailing Address - Street 2:APT. 1
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2775
Mailing Address - Country:US
Mailing Address - Phone:305-573-3784
Mailing Address - Fax:
Practice Address - Street 1:169 E FLAGLER ST
Practice Address - Street 2:SUITE 1300
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-1210
Practice Address - Country:US
Practice Address - Phone:305-573-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 12676101YM0800X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health