| All Mental Inc | |
|
17595 S Tamiami Trl Ste 270 Fort Myers FL 33908-4884 | |
| (239) 212-1349 | |
| (239) 212-1439 |
| Full Name | All Mental Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 17595 S Tamiami Trl Ste 270, Fort Myers, Florida |
| Authorized Official Name and Position | Maura Vasquez (OWNER) |
| Authorized Official Contact | 2392121349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Mental Inc 17595 S Tamiami Trl Ste 270 Fort Myers FL 33908-4884 Ph: (239) 212-1349 | All Mental Inc 17595 S Tamiami Trl Ste 270 Fort Myers FL 33908-4884 Ph: (239) 212-1349 |
| NPI Number | 1649019001 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 4486184462 |
|---|---|
| Medicare Enrollment ID | O20250205003256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649019001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Monica Vega |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063799484 PECOS PAC ID: 1456881440 Enrollment ID: I20250205003377 |
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