Provider Demographics
NPI:1104110865
Name:KATHRYNE ARNOLD, LMHC
Entity type:Organization
Organization Name:KATHRYNE ARNOLD, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-643-4631
Mailing Address - Street 1:2717 SEVILLE BLVD
Mailing Address - Street 2:#6205
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-1163
Mailing Address - Country:US
Mailing Address - Phone:727-643-4631
Mailing Address - Fax:727-943-2711
Practice Address - Street 1:1825 S PINELLAS AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-1948
Practice Address - Country:US
Practice Address - Phone:727-643-4631
Practice Address - Fax:727-943-2711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-30
Last Update Date:2011-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5695101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty