| Stacey Heidler Llc | |
|
6315 Presidential Ct Ste 110 Fort Myers FL 33919-3568 | |
| (239) 826-2152 | |
| Not Available |
| Full Name | Stacey Heidler Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6315 Presidential Ct Ste 110, Fort Myers, Florida |
| Authorized Official Name and Position | Stacey Heidler (THERAPIST) |
| Authorized Official Contact | 2398262152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Heidler Llc 3505 Ne 21st Ave Cape Coral FL 33909-7334 Ph: (239) 826-2152 | Stacey Heidler Llc 6315 Presidential Ct Ste 110 Fort Myers FL 33919-3568 Ph: (239) 826-2152 |
| NPI Number | 1205622388 |
|---|---|
| Provider Enumeration Date | 04/16/2025 |
| Last Update Date | 04/16/2025 |
| Certification Date | 04/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205622388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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