| Nextep Counseling And Clinical Services Llc | |
|
6313 Corporate Ct Ste 130 Fort Myers FL 33919-3509 | |
| (239) 362-0144 | |
| Not Available |
| Full Name | Nextep Counseling And Clinical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6313 Corporate Ct Ste 130, Fort Myers, Florida |
| Authorized Official Name and Position | Andrea Raab (OWNER) |
| Authorized Official Contact | 2393620710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nextep Counseling And Clinical Services Llc 6313 Corporate Ct Ste 130 Fort Myers FL 33919-3509 Ph: (239) 362-0144 | Nextep Counseling And Clinical Services Llc 6313 Corporate Ct Ste 130 Fort Myers FL 33919-3509 Ph: (239) 362-0144 |
| NPI Number | 1558752642 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Medicare PECOS PAC ID | 1850637190 |
|---|---|
| Medicare Enrollment ID | O20190108002172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558752642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 2036AD6563-01 (Florida) | Primary |
| Provider Name | Seth Monaco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235571225 PECOS PAC ID: 6709175904 Enrollment ID: I20160511001023 |
| Provider Name | Joshua Hersh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477797959 PECOS PAC ID: 2769706316 Enrollment ID: I20190624000091 |
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