Provider Demographics
NPI:1922205210
Name:TROTSEK, KAY (LMHC,CAP)
Entity Type:Individual
Prefix:MS
First Name:KAY
Middle Name:
Last Name:TROTSEK
Suffix:
Gender:F
Credentials:LMHC,CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 DELANNOY AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32923
Mailing Address - Country:US
Mailing Address - Phone:321-639-4420
Mailing Address - Fax:
Practice Address - Street 1:434 DELANNOY AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32923
Practice Address - Country:US
Practice Address - Phone:321-639-4420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8609101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health