Provider Demographics
NPI:1760693964
Name:SANTIAGO, KARMIVIS (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KARMIVIS
Middle Name:
Last Name:SANTIAGO
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 1:25400 US HIGHWAY 19 N STE 156
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-2150
Mailing Address - Country:US
Mailing Address - Phone:727-480-0107
Mailing Address - Fax:727-499-7555
Practice Address - Street 1:25400 US HIGHWAY 19 N STE 156
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-2150
Practice Address - Country:US
Practice Address - Phone:727-480-0107
Practice Address - Fax:727-499-7555
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7942101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health