Haller, Kathleen Renee

Haller, Kathleen Renee is an sole proprietor health care provider with primary practice located at 1221 W Lakeview Ave , Pensacola FL 32501-1836. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Haller, Kathleen Renee can be contacted via phone (850) 469-3500.

Contact Information

Primary practice address
1221 W Lakeview Ave Pensacola FL 32501-1836
Phone: (850) 469-3500
Fax: (850) 595-1400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1629179577
LBN Legal business name Haller, Kathleen Renee
Credentials MHR; CAPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Nov 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629179577 NPPES
Florida MEDICAID 766963100

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