| Ms Melissa L Matherson, MFT | |
|
2789 Ortiz Ave, Fort Myers, FL 33905-7806 | |
| (239) 791-1586 | |
| Not Available |
| Full Name | Ms Melissa L Matherson |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2789 Ortiz Ave, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043334675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC46668 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | MT2697 (Florida) | Primary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melissa L Matherson, MFT 3763 Evans Ave, Fort Myers, FL 33901-9302 Ph: (239) 931-9035 | Ms Melissa L Matherson, MFT 2789 Ortiz Ave, Fort Myers, FL 33905-7806 Ph: (239) 791-1586 |
Hanna Pratico, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18362 Ostego Dr, Fort Myers, FL 33967 Phone: 239-287-3551 | |
Jessica Tandy Lyrek, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6440 Neal Rd, Fort Myers, FL 33905 Phone: 612-267-5107 | |
Kaleesha Bent, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15901 Bass Rd Ste 108, Fort Myers, FL 33908 Phone: 239-343-6050 Fax: 239-343-6051 | |
Alyssa Biestek, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2734 Oak Ridge Ct, Fort Myers, FL 33901 Phone: 239-963-4367 | |
Melissa Sue Rosbottom, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17595 S Tamiami Trl, Ste 200-3, Fort Myers, FL 33908 Phone: 239-451-0087 Fax: 239-225-7774 | |
Mr. Richard W Haley, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12781 World Plaza Ln Ste 1, Fort Myers, FL 33907 Phone: 239-939-3700 Fax: 239-939-3889 |