Provider Demographics
NPI:1891094587
Name:MENDEZ, KARLA MICHELLE (LMHC)
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:MICHELLE
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8359 BEACON BLVD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3048
Mailing Address - Country:US
Mailing Address - Phone:239-425-2611
Mailing Address - Fax:239-425-2610
Practice Address - Street 1:8359 BEACON BLVD
Practice Address - Street 2:SUITE 311
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3048
Practice Address - Country:US
Practice Address - Phone:239-425-2611
Practice Address - Fax:239-425-2610
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM532513805460OtherDRIVERS LICENSE