| Island Coast Behavioral Health And Therapy | |
|
12381 S Cleveland Ave Ste 506 Fort Myers FL 33907-3854 | |
| (216) 214-2777 | |
| Not Available |
| Full Name | Island Coast Behavioral Health And Therapy |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12381 S Cleveland Ave Ste 506, Fort Myers, Florida |
| Authorized Official Name and Position | Piotr Sobolewski (MANAGER) |
| Authorized Official Contact | 2162142777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Coast Behavioral Health And Therapy 12381 S Cleveland Ave Ste 506 Fort Myers FL 33907-3854 Ph: (216) 214-2777 | Island Coast Behavioral Health And Therapy 12381 S Cleveland Ave Ste 506 Fort Myers FL 33907-3854 Ph: (216) 214-2777 |
| NPI Number | 1164303574 |
|---|---|
| Provider Enumeration Date | 09/11/2025 |
| Last Update Date | 09/11/2025 |
| Certification Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164303574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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