| Sycamore Shade Counseling And Consultation Llc | |
|
5290 Summerlin Commons Way Ste 1002 Fort Myers FL 33907-2162 | |
| (321) 300-6171 | |
| Not Available |
| Full Name | Sycamore Shade Counseling And Consultation Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5290 Summerlin Commons Way Ste 1002, Fort Myers, Florida |
| Authorized Official Name and Position | Ana Mari Allen (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3213006171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycamore Shade Counseling And Consultation Llc 5290 Summerlin Commons Way Ste 1002 Fort Myers FL 33907-2162 Ph: (321) 300-6171 | Sycamore Shade Counseling And Consultation Llc 5290 Summerlin Commons Way Ste 1002 Fort Myers FL 33907-2162 Ph: (321) 300-6171 |
| NPI Number | 1104540038 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104540038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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