10D2087865 CLIA NUMBER - NEXTEP COUNSELING AND CLINICAL SERVICES LLC

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Laboratory Demographics

CLIA Number: 10D2087865

Facility Name: NEXTEP COUNSELING AND CLINICAL SERVICES LLC

Facility Address:
6313 CORPORATE CT STE 130
FORT MYERS, FL
ZIP 33919
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Facility Phone Number: 239 292-4907

Facility Type: Other - TREATMENT CENTER

Certificate Type: Waiver

NPI Number: 1962955971

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2087865
LAB Type	Other - TREATMENT CENTER
Facility Name	NEXTEP COUNSELING AND CLINICAL SERVICES LLC
Street	6313 CORPORATE CT STE 130
City	FORT MYERS
State	FL
ZIP	33919
Phone	239 292-4907
CertificateType	4
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024