| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATRINA NEILEN | 1174152219 | 2024-03-10 |
Katrina Neilen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174152219. Registration indicates Katrina Neilen is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Developmental Therapist) (Developmental Therapist, ) (Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Katrina Neilen |
| Practice Office Address | 1612 E CYPRESS POINT DR VENICE, FL US |
| Practice Office Telephone | 5402926533 |
| Mailing Address | 4630 17TH ST SARASOTA, FL 342351843 US |
| Business Telephone | 9417133002 |
| Code | Practice | License No State |
|---|---|---|
| 104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | |
| 222Q00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist Developmental Therapist Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |