| Azure Counseling And Psychotherapy, Pllc | |
|
2148 Piccadilly Circus Naples FL 34112-3681 | |
| (239) 961-0284 | |
| Not Available |
| Full Name | Azure Counseling And Psychotherapy, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2148 Piccadilly Circus, Naples, Florida |
| Authorized Official Name and Position | Lori Ellen Martinez (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2399610284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azure Counseling And Psychotherapy, Pllc Po Box 1546 Naples FL 34106-1546 Ph: (239) 961-0284 | Azure Counseling And Psychotherapy, Pllc 2148 Piccadilly Circus Naples FL 34112-3681 Ph: (239) 961-0284 |
| NPI Number | 1508617556 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 9638511538 |
|---|---|
| Medicare Enrollment ID | O20240523001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508617556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lori Ellen Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144524158 PECOS PAC ID: 0547602443 Enrollment ID: I20240523002102 |
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