|
| |
|
9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 | |
| (239) 421-3400 | |
| (239) 603-0975 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9160 Forum Corporate Pkwy Ste 350, Fort Myers, Florida |
| Authorized Official Name and Position | Christa Broyles (CEO) |
| Authorized Official Contact | 9419323214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 Ph: (239) 421-3400 | 9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 Ph: (239) 421-3400 |
| NPI Number | 1720820889 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 06/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720820889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
D J Koehn Consulting Services Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8359 Beacon Blvd Ste 301, Fort Myers, FL 33907 Phone: 571-309-7993 Fax: 800-387-5701 | |
Hope Community Wellness Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6238 Presidential Ct # Crt 7/8, Fort Myers, FL 33919 Phone: 863-233-9190 | |
Health Planning Council Of Southwest Florida, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8961 Daniels Center Dr Ste 401, Fort Myers, FL 33912 Phone: 239-433-6700 | |
Nest Academy & Therapy Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4755 Summerlin Rd Ste 4, Fort Myers, FL 33919 Phone: 786-382-5779 | |
Gables Rehab Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3049 Cleveland Ave Ste 145, Fort Myers, FL 33901 Phone: 786-641-1312 |