| Portner Counseling Group Llc | |
|
2345 Stanford Ct Suite 601 Naples FL 34112-4874 | |
| (239) 775-0039 | |
| (239) 775-0088 |
| Full Name | Portner Counseling Group Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2345 Stanford Ct, Naples, Florida |
| Authorized Official Name and Position | Casey M Pornter (MANAGING OWNER) |
| Authorized Official Contact | 9548956263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portner Counseling Group Llc 2345 Stanford Ct Suite 601 Naples FL 34112-4874 Ph: (239) 775-0039 | Portner Counseling Group Llc 2345 Stanford Ct Suite 601 Naples FL 34112-4874 Ph: (239) 775-0039 |
| NPI Number | 1467803437 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467803437 | NPI | - | NPPES |
| MH 13774 | Other | FL | STATE MENTAL HEALTH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MH13774 (Florida) | Primary |
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