Carolina Fabian, | |
2789 Ortiz Ave, Fort Myers, FL 33905-7806 | |
(239) 275-3222 | |
Not Available |
Full Name | Carolina Fabian |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2789 Ortiz Ave, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588091342 | NPI | - | NPPES |
F150-100-79-911-0 | Other | FL | DRIVER'S LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Saluscare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972557197 PECOS PAC ID: 8325014350 Enrollment ID: O20040909001075 |
Mailing Address | Practice Location Address |
---|---|
Carolina Fabian, 3736 Evans Ave., Fort Myers, FL 33901 Ph: () - | Carolina Fabian, 2789 Ortiz Ave, Fort Myers, FL 33905-7806 Ph: (239) 275-3222 |
Hanna Pratico, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18362 Ostego Dr, Fort Myers, FL 33967 Phone: 239-287-3551 | |
Ms. Melissa L. Matherson, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2789 Ortiz Ave, Fort Myers, FL 33905 Phone: 239-791-1586 | |
Kaleesha Bent, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15901 Bass Rd Ste 108, Fort Myers, FL 33908 Phone: 239-343-6050 Fax: 239-343-6051 | |
Alyssa Biestek, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2734 Oak Ridge Ct, Fort Myers, FL 33901 Phone: 239-963-4367 | |
Kerrie L. Budagher, MSW, ISW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2180 W 1st St, Fort Myers, FL 33901 Phone: 505-228-4959 | |
Melissa Sue Rosbottom, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17595 S Tamiami Trl, Ste 200-3, Fort Myers, FL 33908 Phone: 239-451-0087 Fax: 239-225-7774 | |
Mr. Richard W Haley, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12781 World Plaza Ln Ste 1, Fort Myers, FL 33907 Phone: 239-939-3700 Fax: 239-939-3889 |