MANDALA COUNSELING SERVICES LLC NPI 1871134627

NPI Information

NPI: 1871134627
Provider Name: MANDALA COUNSELING SERVICES LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6361 PRESIDENTIAL CT STE 101
FORT MYERS, FL
ZIP 33919
Phone: (239) 360-1976
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MANDALA COUNSELING SERVICES LLC is a mental health counselor in Fort Myers, FL. MANDALA COUNSELING SERVICES LLC NPI is 1871134627. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6361 PRESIDENTIAL CT STE 101
FORT MYERS, FL
ZIP 33919-583
Phone: (239) 360-1976

The provider's authorized official is Brianna Kelly Chelucci .
The authorized official title is Owner and has the following contact phone number (941) 962-9661.

The enumeration date for this NPI number is 10/2/2019 and was last updated on 10/2/2019.

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

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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