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Contact Information

KATIE C BERGMAN, LMHC, MC
2581 HUNTCLIFF LN
PANAMA CITY, FL32405-4902
 Phone: 850-520-3321
 Fax: 850-848-6490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for KATIE C BERGMAN · (Female)

NPI Number 1245635788
Status Active
Credentials LMHC, MC
Entity Individual
Enumeration date 10/27/2014
Last updated 03/22/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # MH17204
  • WY License # PPC-863
  • FL Medicaid 110724100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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