Provider Demographics
NPI:1679367536
Name:VOLANTE, KATRINA R
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:R
Last Name:VOLANTE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 NE 3RD AVE STE 7&8
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2538
Mailing Address - Country:US
Mailing Address - Phone:239-354-7187
Mailing Address - Fax:239-354-7234
Practice Address - Street 1:303 NE 3RD AVE STE 7&8
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2538
Practice Address - Country:US
Practice Address - Phone:239-354-7187
Practice Address - Fax:239-354-7234
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH25398101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health