Phoebe C. Houghton Lcsw Llc | |
808 Anchor Rode Dr Naples FL 34103-2739 | |
(603) 831-2420 | |
Not Available |
Full Name | Phoebe C. Houghton Lcsw Llc |
---|---|
Speciality | Clinic/Center |
Location | 808 Anchor Rode Dr, Naples, Florida |
Authorized Official Name and Position | Phoebe C Houghton (PSYCHOTHERAPIST) |
Authorized Official Contact | 6038312420 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Phoebe C. Houghton Lcsw Llc 4321 Orange River Loop Rd Fort Myers FL 33905-5816 Ph: (603) 831-2420 | Phoebe C. Houghton Lcsw Llc 808 Anchor Rode Dr Naples FL 34103-2739 Ph: (603) 831-2420 |
NPI Number | 1699374579 |
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Provider Enumeration Date | 10/21/2020 |
Last Update Date | 10/21/2020 |
Certification Date | 10/21/2020 |
Medicare PECOS PAC ID | 3173935368 |
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Medicare Enrollment ID | O20201211001224 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699374579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Phoebe C Houghton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598978447 PECOS PAC ID: 2961703798 Enrollment ID: I20151219000039 |
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