Provider Demographics
NPI:1255696803
Name:KATHLEEN M. GIERHART, LMHC, P.L.
Entity type:Organization
Organization Name:KATHLEEN M. GIERHART, LMHC, P.L.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GIERHART
Authorized Official - Suffix:
Authorized Official - Credentials:DDSM, LMHC, CAP
Authorized Official - Phone:352-378-0900
Mailing Address - Street 1:2610 NW 43RD ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6675
Mailing Address - Country:US
Mailing Address - Phone:352-378-0900
Mailing Address - Fax:352-378-7849
Practice Address - Street 1:2610 NW 43RD ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6675
Practice Address - Country:US
Practice Address - Phone:352-378-0900
Practice Address - Fax:352-378-7849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty