MAXINE RUSSELL PHD LLC NPI 1720232804

NPI Information

  • NPI: 1720232804
  • Provider Name: MAXINE RUSSELL PHD LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1415 PANTHER LN
    SUITE 216
    NAPLES, FL
    ZIP 34109
  • Phone: (239) 591-6636

Map and Directions

Get Directions

NPI Details

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
1101YM0800XCounselorMental HealthMH4166FLORIDAYes

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: 11/21/2025

NPI Synchronization or Removal

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.