Provider Demographics
NPI:1124667035
Name:VOTTELER, MARGARET (LMHC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:VOTTELER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:VOTTELER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3862 SW JANIGA ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-5384
Mailing Address - Country:US
Mailing Address - Phone:305-778-5517
Mailing Address - Fax:
Practice Address - Street 1:10 SE CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-5913
Practice Address - Country:US
Practice Address - Phone:305-778-5517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-26
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17604101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH17604OtherFLORIDA DEPARTMENT OF HEALTH