GULFSIDE HEALTHCARE INC NPI 1861515801

NPI Information

NPI: 1861515801
Provider Name: GULFSIDE HEALTHCARE INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6361 PRESIDENTIAL CT STE 105
FORT MYERS, FL
ZIP 33919
Phone: (239) 470-6810
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GULFSIDE HEALTHCARE INC is a mental health counselor in Fort Myers, FL. GULFSIDE HEALTHCARE INC NPI is 1861515801. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6361 PRESIDENTIAL CT STE 105
FORT MYERS, FL
ZIP 33919-583
Phone: (239) 470-6810
Fax: (239) 938-9912

The provider's authorized official is David E. Wood .
The authorized official title is President and has the following contact phone number (239) 470-6810.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 1/7/2019.

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			Yes
2	251S00000X	Community/Behavioral 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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