GREGORY KLESIUS
NPI 1912313164
Counselor - Mental Health in Hernando Beach, FL
Active since July 09, 2014
About Gregory Klesius NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREGORY KLESIUS (NPI 1912313164) is an individual mental health provider in Hernando Beach, Florida, licensed in Florida (IMH10938) and active in the NPI registry since July 2014.
NPPES Registry Identity
NPI1912313164
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGREGORY KLESIUS
Location Address3423 PALOMETA DRHernando Beach, FL 34607-3654
Mailing Address3423 Palometa DrHernando Beach, FL 34607-3654 · (813) 394-4356
Phone(813) 394-4356
Sole ProprietorNo
Enumeration DateJuly 9, 2014
✔ NPI 1912313164 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH10938
3423 PALOMETA DR, Hernando Beach, FL 34607
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912313164, enumerated as an "individual" on July 09, 2014.
The provider is located at 3423 PALOMETA DR HERNANDO BEACH, FL 34607 and the phone number is (813) 394-4356.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
