MAXINE RUSSELL PHD LLC NPI 1720232804

NPI Information

NPI: 1720232804
Provider Name: MAXINE RUSSELL PHD LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1415 PANTHER LN
SUITE 216
NAPLES, FL
ZIP 34109
Phone: (239) 591-6636
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MAXINE RUSSELL PHD LLC is a mental health counselor in Naples, FL. MAXINE RUSSELL PHD LLC NPI is 1720232804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1415 PANTHER LN
SUITE 216
NAPLES, FL
ZIP 34109-874
Phone: (239) 591-6636
Fax: (239) 591-6637

The provider's authorized official is Maxine M. Russell .
The authorized official title is Mental Health Counselor and has the following contact phone number (239) 591-6636.

The enumeration date for this NPI number is 11/16/2008 and was last updated on 11/16/2008.

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	MH4166	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: 5/5/2024

NPI Synchronization or Removal

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