RAINA BURLAK PA NPI 1356853311

NPI Information

NPI: 1356853311
Provider Name: RAINA BURLAK PA
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
12553 NEW BRITTANY BLVD STE 32
FORT MYERS, FL
ZIP 33907
Phone: (239) 689-3079
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RAINA BURLAK PA is a mental health counselor in Fort Myers, FL. RAINA BURLAK PA NPI is 1356853311. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12553 NEW BRITTANY BLVD STE 32
FORT MYERS, FL
ZIP 33907-625
Phone: (239) 689-3079
Fax: (239) 313-6923

The provider's authorized official is Raina Rainbow Burlak .
The authorized official title is President and has the following contact phone number (239) 821-9754.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 10/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH14350	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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