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DNA COMPREHENSIVE THERAPY SERVICES LLC NPI 1508231416


NPI Information

NPI: 1508231416
Provider Name: DNA COMPREHENSIVE THERAPY SERVICES, LLC

Doing Business As: ELITE DNA THERAPY SERVICES, LLC

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 10D2082314

Address:
2721 DEL PRADO BLVD S
SUITE 200
CAPE CORAL, FL
ZIP 33904
Phone: (239) 673-9034
Get Directions

DNA COMPREHENSIVE THERAPY SERVICES, LLC is a clinical psychologist in Cape Coral, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DNA COMPREHENSIVE THERAPY SERVICES, LLC NPI is 1508231416. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elite Dna Therapy Services, Llc.

The provider's business location address is:

2721 DEL PRADO BLVD S
SUITE 200
CAPE CORAL, FL
ZIP 33904-781
Phone: (239) 673-9034
Fax: (239) 673-9102

The provider's authorized official is Elizabeth Dosoretz .
The authorized official title is Ceo and has the following contact phone number (239) 223-2751.

The CLIA number assigned to this NPI record is 10D2082314 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 12/3/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2103K00000XBehavior AnalystNo
3104100000XSocial WorkerNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5225X00000XOccupational TherapistNo
6235Z00000XSpeech-Language PathologistNo
7363L00000XNurse PractitionerNo
8103TC0700XPsychologistClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HV955AMEDICARE PINFLORIDA

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: 1/10/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.