Provider Demographics
NPI:1851511331
Name:STAIGLE, CAROLE BERTERA (LMHC, CFLE)
Entity type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:BERTERA
Last Name:STAIGLE
Suffix:
Gender:F
Credentials:LMHC, CFLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3935 VILLAGE DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-2960
Mailing Address - Country:US
Mailing Address - Phone:561-637-6622
Mailing Address - Fax:
Practice Address - Street 1:3935 VILLAGE DR UNIT A
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-2960
Practice Address - Country:US
Practice Address - Phone:561-637-6622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0003591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health