Provider Demographics
NPI:1790082865
Name:VEGVARI, KRISZTIAN (LMHC, LPC, NCC, CADC)
Entity Type:Individual
Prefix:
First Name:KRISZTIAN
Middle Name:
Last Name:VEGVARI
Suffix:
Gender:M
Credentials:LMHC, LPC, NCC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8668 NAVARRE PKWY UNIT 309
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-2185
Mailing Address - Country:US
Mailing Address - Phone:850-710-3848
Mailing Address - Fax:
Practice Address - Street 1:8155 NAVARRE PKWY
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-6941
Practice Address - Country:US
Practice Address - Phone:850-710-3848
Practice Address - Fax:833-781-1104
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10467990-6004101YM0800X
OR09-12-75U3101YA0400X
WALH60118011101YM0800X
OR22244101YM0800X
FLMH15923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLWWW.AIMBEHAVIORALHEAOtherFLORDIA LICENSE