Provider Demographics
NPI:1902809569
Name:MAHLER, CARL F (MS)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:F
Last Name:MAHLER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9601 MICCOSUKEE RD
Mailing Address - Street 2:LOT 63
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-9665
Mailing Address - Country:US
Mailing Address - Phone:850-877-0318
Mailing Address - Fax:
Practice Address - Street 1:9601 MICCOSUKEE RD
Practice Address - Street 2:LOT 63
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-9665
Practice Address - Country:US
Practice Address - Phone:850-877-0318
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-0000885101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health