| Mentus Behavioral Health Llc | |
|
12651 Mcgregor Blvd Ste 301 Fort Myers FL 33919-4488 | |
| (704) 770-7027 | |
| Not Available |
| Full Name | Mentus Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12651 Mcgregor Blvd Ste 301, Fort Myers, Florida |
| Authorized Official Name and Position | Luis Emilio Betancourt (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 7047707027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentus Behavioral Health Llc 12651 Mcgregor Blvd Ste 301 Fort Myers FL 33919-4488 Ph: (704) 770-7027 | Mentus Behavioral Health Llc 12651 Mcgregor Blvd Ste 301 Fort Myers FL 33919-4488 Ph: (704) 770-7027 |
| NPI Number | 1700533536 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 0143602110 |
|---|---|
| Medicare Enrollment ID | O20220808002082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700533536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Luis Emilio Betancourt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891076022 PECOS PAC ID: 6305067240 Enrollment ID: I20220808002259 |
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