Sycamore Shade Counseling And Consultation Llc | |
5290 Summerlin Commons Way Ste 1002 Fort Myers FL 33907-2162 | |
(321) 300-6171 | |
Not Available |
Full Name | Sycamore Shade Counseling And Consultation Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 5290 Summerlin Commons Way Ste 1002, Fort Myers, Florida |
Authorized Official Name and Position | Ana Mari Allen (MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 3213006171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sycamore Shade Counseling And Consultation Llc 5290 Summerlin Commons Way Ste 1002 Fort Myers FL 33907-2162 Ph: (321) 300-6171 | Sycamore Shade Counseling And Consultation Llc 5290 Summerlin Commons Way Ste 1002 Fort Myers FL 33907-2162 Ph: (321) 300-6171 |
NPI Number | 1104540038 |
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Provider Enumeration Date | 10/04/2022 |
Last Update Date | 10/04/2022 |
Certification Date | 10/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104540038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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