Lifechanging Counseling Pa | |
6237 Presidential Ct Ste 110 Fort Myers FL 33919-3508 | |
(239) 243-8098 | |
(239) 482-5335 |
Full Name | Lifechanging Counseling Pa |
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Speciality | Counselor - Mental Health |
Location | 6237 Presidential Ct Ste 110, Fort Myers, Florida |
Authorized Official Name and Position | Jama Thurman (LICENSED MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 2392438098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifechanging Counseling Pa 6237 Presidential Ct Ste 110 Fort Myers FL 33919-3508 Ph: (239) 243-8098 | Lifechanging Counseling Pa 6237 Presidential Ct Ste 110 Fort Myers FL 33919-3508 Ph: (239) 243-8098 |
NPI Number | 1982633673 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 04/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982633673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701003634 (Virginia) | Secondary |
101YM0800X | Counselor - Mental Health | MH 11424 (Florida) | Primary |
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