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FAMILY PRESERVATION SERVICE NPI 1700162021


NPI Information

NPI: 1700162021
Provider Name: FAMILY PRESERVATION SERVICE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2180 MARAVILLA LN
FORT MYERS, FL
ZIP 33901
Phone: (239) 332-8009
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FAMILY PRESERVATION SERVICE is a community behavioral health in Fort Myers, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FAMILY PRESERVATION SERVICE NPI is 1700162021. The provider is registered as an organization entity type.

The provider's business location address is:

2180 MARAVILLA LN
FORT MYERS, FL
ZIP 33901-221
Phone: (239) 332-8009

The provider's authorized official is Gerard Sprague .
The authorized official title is Cmh Supervisor and has the following contact phone number (239) 332-8009.

The enumeration date for this NPI number is 11/1/2011 and was last updated on 11/1/2011.


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
1251S00000XCommunity/Behavioral HealthFLORIDANo
2251S00000XCommunity/Behavioral HealthYes

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
11063528560OTHERFLORIDAFPS NPI

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

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