Provider Demographics
NPI:1740370972
Name:WARSICK, MARY KATRINA (LMHC NCC CCMHC NCSC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KATRINA
Last Name:WARSICK
Suffix:
Gender:F
Credentials:LMHC NCC CCMHC NCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8603 BELLA VIA
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-4059
Mailing Address - Country:US
Mailing Address - Phone:727-992-3966
Mailing Address - Fax:
Practice Address - Street 1:5085 COMMERCIAL WAY
Practice Address - Street 2:AMERIPRISE FINANCIAL OFFICE
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1930
Practice Address - Country:US
Practice Address - Phone:727-992-3966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC 0002296101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health