| Lucky Behavior Services Corp | |
|
3048 Del Prado Blvd. Unit 125 Cape Coral FL 33904-7283 | |
| (239) 298-6868 | |
| Not Available |
| Full Name | Lucky Behavior Services Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3048 Del Prado Blvd., Cape Coral, Florida |
| Authorized Official Name and Position | Karelia Maria Fernandez (PRESIDENT) |
| Authorized Official Contact | 2392986868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucky Behavior Services Corp 2804 Del Prado Blvd S Ste 209-2 Cape Coral FL 33904-7283 Ph: (239) 298-6868 | Lucky Behavior Services Corp 3048 Del Prado Blvd. Unit 125 Cape Coral FL 33904-7283 Ph: (239) 298-6868 |
| NPI Number | 1730768797 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 05/12/2021 |
| Certification Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730768797 | NPI | - | NPPES |
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