MR. JEFFREY WILLIAM WIDES (NPI# 1134150899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134150899 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY WILLIAM WIDES |
| Credential | LMFT |
| Practice Address |
1777 Tamiami Trl Suite 405 Port Charlotte FL 33948-1078 |
| Practice Telephone | 9417647111 |
| Practice Fax Number | 9417647343 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MT2117 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1777 TAMIAMI TRL SUITE 405 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598790289 | Jacqueline R Frawley | Social Worker | 1777 Tamiami Trl, Suite 400, Port Charlotte, FL 33948-1078 | 2006-07-11 |
| 1831647007 | Linda Wolfe | Counselor | 1777 Tamiami Trl, Suite 201, Port Charlotte, FL 33948-1078 | 2016-09-16 |
| 1215387584 | Patricia Gaudette | Counselor | 1777 Tamiami Trl, Suite 201, Port Charlotte, FL 33948-1078 | 2016-06-17 |
| 1336517903 | Anthony Kesner | Marriage & Family Therapist | 1777 Tamiami Trl, Suite 201, Port Charlotte, FL 33948-1078 | 2015-09-12 |
| 1346618915 | Jeffrey Lapham | Counselor | 1777 Tamiami Trl, Suite 201, Port Charlotte, FL 33948-1078 | 2015-09-12 |
| 1972858702 | Elisa Amaris Niles | Counselor | 1777 Tamiami Trl, Suite 400, Port Charlotte, FL 33948-1078 | 2012-07-18 |
| 1982961835 | Southwest Florida Counseling Center | Social Worker | 1777 Tamiami Trl, Suite 201, Port Charlotte, FL 33948-1078 | 2012-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946125 | Rooney Counseling and Collaboration Services | Counselor | 9605 Shoal Ct, Port Charlotte, FL 33981-4242 | 2020-09-09 |
| 1821567587 | Mitzi Dianne Brown | Counselor | 4055 Tamiami Trl Unit 3, Port Charlotte, FL 33952-9212 | 2018-11-24 |
| 1619403912 | Esther Olds | Counselor | 1620 Tamiami Trl Ste 20, Port Charlotte, FL 33948-4015 | 2017-05-05 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1407214869 | Megan Burkard | Counselor | 7220 Memorial Dr, Port Charlotte, FL 33981-6655 | 2016-02-01 |
| 1265818769 | Cynthia Lee Chausse | Counselor | 17825 Murdock Cir Ste 1b, Port Charlotte, FL 33948-4000 | 2015-08-06 |
| 1487055919 | Lifeworks Substance Abuse Services LLC | Counselor | 4678 Tamiami Trl, #105, Port Charlotte, FL 33980-2900 | 2014-09-16 |
| 1164822193 | Halcyon Management Group, Inc. | Counselor | 3596 Tamiami Trl Ste 205, Port Charlotte, FL 33952-8252 | 2014-08-27 |
| 1447523527 | Josalyn Inez Montalvo | Counselor | 17130 Russell Ave, Port Charlotte, FL 33954-1592 | 2012-02-20 |
| 1104004746 | Candis L Jackson | Counselor | 3460 Depew Ave, Port Charlotte, FL 33952-7015 | 2008-02-06 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on MR. JEFFREY WILLIAM WIDES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.