| Calm Waters Counseling Group | |
|
12670 New Brittany Blvd Ste 101 Fort Myers FL 33907-3650 | |
| (239) 837-8555 | |
| (239) 837-8568 |
| Full Name | Calm Waters Counseling Group |
|---|---|
| Speciality | Counselor |
| Location | 12670 New Brittany Blvd Ste 101, Fort Myers, Florida |
| Authorized Official Name and Position | Emely Fernandez (CEO) |
| Authorized Official Contact | 2398378555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Waters Counseling Group 12670 New Brittany Blvd Ste 101 Fort Myers FL 33907-3650 Ph: (239) 837-8555 | Calm Waters Counseling Group 12670 New Brittany Blvd Ste 101 Fort Myers FL 33907-3650 Ph: (239) 837-8555 |
| NPI Number | 1871326470 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 4880126176 |
|---|---|
| Medicare Enrollment ID | O20241010004070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871326470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Emely Fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003358987 PECOS PAC ID: 9931641479 Enrollment ID: I20240612000178 |
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