| Peace Therapy | |
|
10461 6 Mile Cypress Pkwy Ste 504 Fort Myers FL 33966-6513 | |
| (941) 467-2980 | |
| Not Available |
| Full Name | Peace Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 10461 6 Mile Cypress Pkwy Ste 504, Fort Myers, Florida |
| Authorized Official Name and Position | Jeffrey Douglas Lapham (DIRECTOR) |
| Authorized Official Contact | 9414672980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Therapy 10461 6 Mile Cypress Pkwy Ste 504 Fort Myers FL 33966-6513 Ph: (941) 467-2980 | Peace Therapy 10461 6 Mile Cypress Pkwy Ste 504 Fort Myers FL 33966-6513 Ph: (941) 467-2980 |
| NPI Number | 1366915944 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 2163960642 |
|---|---|
| Medicare Enrollment ID | O20240815000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366915944 | NPI | - | NPPES |
| 116077800 | Medicaid | FL |
| Provider Name | Jeffrey Lapham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346618915 PECOS PAC ID: 0244778728 Enrollment ID: I20240815000251 |
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