MY PRECIOUS KIDS THERAPY CENTER INC (NPI# 1366980187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366980187 |
| Entity Type | Organization |
| Organization Name | MY PRECIOUS KIDS THERAPY CENTER INC |
| Practice Address |
4755 Summerlin Road Suite #4 Fort Myers FL 33919 |
| Mailing Address |
190 Nw 14th St Homestead FL 33030-4240 |
| Practice Telephone | 2392921838 |
| Practice Fax Number | 2399316075 |
| Mailing Telephone | 2392921838 |
| Mailing Fax Number | 2399316075 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2018-06-08 |
| Authorized Official Name | BRIAN NEBLETT (PRESIDENT) |
| Authorized Official Telephone | 3059103247 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
4755 SUMMERLIN ROAD SUITE #4 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| 1396074464 | Phyllis Ann Wolford | Nurse Practitioner | 6311 S. Pointe Blvd, Fort Myers, FL 33919 | 2009-12-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1588271985 | Sunshine New Wellness Corp | Community/Behavioral Health | 9400 Gladiolus Dr Ste 270, Fort Myers, FL 33908-7600 | 2020-09-29 |
| 1922615491 | The-merger Corp | Community/Behavioral Health | 3800 Colonial Blvd Ste 201, Fort Myers, FL 33966-1075 | 2020-09-28 |
| 1649814427 | Naples Behavioral, Inc. | Community/Behavioral Health | 12631 World Plaza Ln Bldg 54, Fort Myers, FL 33907-3990 | 2019-11-04 |
| 1184145559 | National Youth Advocate Program, Inc | Community/Behavioral Health | 4150 Ford St, Fort Myers, FL 33916-9498 | 2017-07-06 |
| 1891167771 | Nextep Counseling and Clinical Services, LLC. | Community/Behavioral Health | 6314 Corporate Ct Ste 110, Fort Myers, FL 33919-3516 | 2015-10-30 |
| 1326422544 | United Way of Lee County, Inc. | Community/Behavioral Health | 7273 Concourse Dr, Fort Myers, FL 33908-2604 | 2015-07-17 |
| 1558752642 | Nextep Counseling and Clinical Services LLC | Community/Behavioral Health | 6313 Corporate Ct Ste 130, Fort Myers, FL 33919-3509 | 2015-02-10 |
| 1194128066 | Genesis Counseling Center | Community/Behavioral Health | 8359 Beacon Blvd Ste 200, Fort Myers, FL 33907-3065 | 2014-10-06 |
| 1427492396 | Hope Clubhouse of Southwest Florida, Inc. | Community/Behavioral Health | 3602 Broadway, Fort Myers, FL 33901-8005 | 2013-04-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
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| 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.