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THE CENTER FOR PROGRESS AND EXCELLENCE INC NPI 1861907339


NPI Information

NPI: 1861907339
Provider Name: THE CENTER FOR PROGRESS AND EXCELLENCE, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
11940 FAIRWAY LAKES DR STE 4
FORT MYERS, FL
ZIP 33913
Phone: (239) 689-8490
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THE CENTER FOR PROGRESS AND EXCELLENCE, INC is a mental health (including community mental health center) clinic center in Fort Myers, FL. THE CENTER FOR PROGRESS AND EXCELLENCE, INC NPI is 1861907339. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11940 FAIRWAY LAKES DR STE 4
FORT MYERS, FL
ZIP 33913-385
Phone: (239) 689-8490
Fax: (239) 689-8103

The provider's authorized official is Jan-paul Mojica .
The authorized official title is Ceo and has the following contact phone number (239) 689-8490.

The enumeration date for this NPI number is 12/6/2017 and was last updated on 7/28/2020.


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
1101YM0800XCounselorMental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5251S00000XCommunity/Behavioral HealthNo

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
1010785500MEDICAIDFLORIDA

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: 4/28/2024

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.