LUCKY BEHAVIOR SERVICES CORP NPI 1730768797

NPI Information

NPI: 1730768797
Provider Name: LUCKY BEHAVIOR SERVICES CORP
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3048 DEL PRADO BLVD.
UNIT 125
CAPE CORAL, FL
ZIP 33904
Phone: (239) 298-6868
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LUCKY BEHAVIOR SERVICES CORP is a mental health (including community mental health center) clinic center in Cape Coral, FL. LUCKY BEHAVIOR SERVICES CORP NPI is 1730768797. The provider is registered as an organization entity type.

The provider's business location address is:

3048 DEL PRADO BLVD.
UNIT 125
CAPE CORAL, FL
ZIP 33904-283
Phone: (239) 298-6868

The provider's authorized official is Karelia Maria Fernandez .
The authorized official title is President and has the following contact phone number (239) 298-6868.

The enumeration date for this NPI number is 4/6/2021 and was last updated on 5/12/2021.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
2	261QM0850X	Clinic/Center	Adult Mental Health			No

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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