Provider Demographics
NPI:1942839006
Name:GARNER, VICKI MISNER (LMHC)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:MISNER
Last Name:GARNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:LYNN
Other - Last Name:MISNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:213 NOB HILL CIR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4430
Mailing Address - Country:US
Mailing Address - Phone:407-454-0574
Mailing Address - Fax:
Practice Address - Street 1:1437 S BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-2829
Practice Address - Country:US
Practice Address - Phone:727-524-4464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional