Provider Demographics
NPI:1194164939
Name:NERI, ROBERT LYNN (LMHC, CAP)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LYNN
Last Name:NERI
Suffix:
Gender:M
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12019
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33733-2019
Mailing Address - Country:US
Mailing Address - Phone:727-490-6767
Mailing Address - Fax:727-825-0573
Practice Address - Street 1:5999 CENTRAL AVE STE 401
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710
Practice Address - Country:US
Practice Address - Phone:727-490-6767
Practice Address - Fax:727-825-0573
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 1048101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health