Provider Demographics
NPI:1386457729
Name:NORDMEIER, GERTRUDE MORGAN (LMHC)
Entity type:Individual
Prefix:
First Name:GERTRUDE
Middle Name:MORGAN
Last Name:NORDMEIER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FLAGLER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32136-2929
Mailing Address - Country:US
Mailing Address - Phone:631-806-4787
Mailing Address - Fax:
Practice Address - Street 1:1613 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FLAGLER BEACH
Practice Address - State:FL
Practice Address - Zip Code:32136-2929
Practice Address - Country:US
Practice Address - Phone:631-806-4787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH25006101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health