Stacey Robin Charles, LMHC is a
Developmental Therapist based in Fort Myers, Florida. Stacey Robin Charles is licensed to practice in Florida (license number MH14431) and her current practice location is
8961 Daniels Center Dr Ste 401, Fort Myers, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 433-6700.
NPI number for Stacey Robin Charles is 1811435340 and her current mailing address is 8961 Daniels Ceter Dr. Ste 401, Fort Myers, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811435340.
Healthcare Provider's Profile
Full Name | Stacey Robin Charles |
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Gender | Female |
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Speciality | Developmental Therapist |
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Location | 8961 Daniels Center Dr Ste 401, Fort Myers, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811435340
- Provider Enumeration Date: 02/03/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Stacey Robin Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811435340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MH14431 (Florida) | Secondary |
222Q00000X | Developmental Therapist | MH14431 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Robin Charles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacey Robin Charles, LMHC 8961 Daniels Ceter Dr. Ste 401, Fort Myers, FL 33912 Ph: (239) 433-6700 | Stacey Robin Charles, LMHC 8961 Daniels Center Dr Ste 401, Fort Myers, FL 33912-0000 Ph: (239) 433-6700 |
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