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THE ECOTHERAPY PLACE LLC NPI 1992448161


NPI Information

NPI: 1992448161
Provider Name: THE ECOTHERAPY PLACE LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
18320 PERSIMMON RIDGE RD
ALVA, FL
ZIP 33920
Phone: (239) 895-6954
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THE ECOTHERAPY PLACE LLC is a clinical social worker in Alva, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. THE ECOTHERAPY PLACE LLC NPI is 1992448161. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18320 PERSIMMON RIDGE RD
ALVA, FL
ZIP 33920-037
Phone: (239) 895-6954

The provider's authorized official is Cristiane Fernandes .
The authorized official title is Clinician and has the following contact phone number (239) 895-6954.

The enumeration date for this NPI number is 4/15/2022 and was last updated on 4/15/2022.


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
11041C0700XSocial WorkerClinicalYes

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
1111229900MEDICAIDFLORIDA

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

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