Peace Therapy | |
8140 College Pkwy Ste 202-3 Fort Myers FL 33919-5188 | |
(941) 467-2980 | |
Not Available |
Full Name | Peace Therapy |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 8140 College Pkwy Ste 202-3, Fort Myers, Florida |
Authorized Official Name and Position | Jeffrey Douglas Lapham (DIRECTOR) |
Authorized Official Contact | 9414672980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peace Therapy 8140 College Pkwy Ste 202-3 Fort Myers FL 33919-5188 Ph: (941) 467-2980 | Peace Therapy 8140 College Pkwy Ste 202-3 Fort Myers FL 33919-5188 Ph: (941) 467-2980 |
NPI Number | 1366915944 |
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Provider Enumeration Date | 01/07/2019 |
Last Update Date | 04/16/2021 |
Certification Date | 04/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366915944 | NPI | - | NPPES |
020817300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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