| Untamed Therapy & Consulting, Llc | |
|
3321 Del Prado Blvd S Ste 12 Cape Coral FL 33904-7263 | |
| (941) 876-8033 | |
| (239) 439-7822 |
| Full Name | Untamed Therapy & Consulting, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3321 Del Prado Blvd S Ste 12, Cape Coral, Florida |
| Authorized Official Name and Position | Jessica Rae Brooks (LMHC) |
| Authorized Official Contact | 2394045222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Untamed Therapy & Consulting, Llc 3321 Del Prado Blvd S Ste 12 Cape Coral FL 33904-7263 Ph: (941) 876-8033 | Untamed Therapy & Consulting, Llc 3321 Del Prado Blvd S Ste 12 Cape Coral FL 33904-7263 Ph: (941) 876-8033 |
| NPI Number | 1720811557 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720811557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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