Provider Demographics
NPI:1538442074
Name:MENDA, CATHLEEN A (LMHC)
Entity type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:A
Last Name:MENDA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6706 N 9TH AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-7398
Mailing Address - Country:US
Mailing Address - Phone:850-380-0440
Mailing Address - Fax:850-471-1790
Practice Address - Street 1:6706 N 9TH AVE
Practice Address - Street 2:SUITE A1
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-9303
Practice Address - Country:US
Practice Address - Phone:850-380-0440
Practice Address - Fax:850-471-1790
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 11975101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health