Provider Demographics
NPI:1538986096
Name:INNOCENT, GERALNEKA (LMHC)
Entity type:Individual
Prefix:
First Name:GERALNEKA
Middle Name:
Last Name:INNOCENT
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 1:500 N CONGRESS AVE APT A203
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3477
Mailing Address - Country:US
Mailing Address - Phone:786-609-8412
Mailing Address - Fax:
Practice Address - Street 1:100 S CONGRESS AVE STE 44
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4642
Practice Address - Country:US
Practice Address - Phone:561-908-0042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health