Provider Demographics
NPI:1235811779
Name:MONCRIEF, KATHERINE (MS, LMHC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:MONCRIEF
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16950 N BAY RD APT 2310
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4249
Mailing Address - Country:US
Mailing Address - Phone:305-397-6168
Mailing Address - Fax:954-965-4597
Practice Address - Street 1:6803 LAKE WORTH RD STE 215
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-2979
Practice Address - Country:US
Practice Address - Phone:561-207-7625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24615101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIMH23311OtherREGISTERED MENTAL HEALTH COUNSELOR INTERN