Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH SAMINE ROBERTS
Active Sole ProprietorKENNETH SAMINE ROBERTS is a Mental Health Counselor healthcare provider located in PORT ST. LUICE, Florida. NPI 1154063634 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PORT ST. LUICE, FL
Registration Details
- NPI Number
- 1154063634
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2022 (4.3178651866931 yrs)
- Last Updated
- Apr 13, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
567 NW WHITNEY PLACE, SUITE 101PORT ST. LUICE, FL, 34986Browse FL providers · Browse ZIP 34986
- Phone
- 7723378164
- Fax
- 7723378165
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.