Bergman, Katie C

Bergman, Katie C is an sole proprietor health care provider with primary practice located at 2581 Huntcliff Ln , Panama City FL 32405-4902. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bergman, Katie C can be contacted via phone (850) 520-3321.

Contact Information

Primary practice address
2581 Huntcliff Ln Panama City FL 32405-4902
Phone: (850) 520-3321
Fax: (850) 848-6490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PPC-863 Wyoming
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH17204 Florida

Profile Details

NPI number 1245635788
LBN Legal business name Bergman, Katie C
Credentials LMHC, MC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2014
Last updated Mar 22nd, 2024 - 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 1245635788 NPPES
Florida MEDICAID 110724100

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