CAROLINA FABIAN (NPI# 1588091342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588091342 |
| Entity Type | Individual |
| Full Name | CAROLINA FABIAN |
| Practice Address |
2789 Ortiz Ave Fort Myers FL 33905-7806 |
| Mailing Address |
3736 Evans Ave. Fort Myers FL 33901 |
| Practice Telephone | 2392753222 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DRIVER'S LICENSE | F150-100-79-911-0 | 01 |
| Street Address |
2789 ORTIZ AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851377402 | Debra Marie Danley | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2005-12-15 |
| 1043822109 | Bridget Gilmore | Counselor | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-08-20 |
| 1104452465 | Marcela Checa | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-19 |
| 1982230371 | Johanna Mulvihill | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-17 |
| 1407480270 | Tatiana Chang | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1821622630 | Vanessa Mcnair | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1316571177 | Elizabeth Ann Ireland | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1780222125 | Melissa N Rodriguez | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-12-17 |
| 1588202352 | Heather Elizabeth Mossotti | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-12-12 |
| 1528604287 | Jean Patton | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207183 | Discovering Your Truth LLC | Marriage & Family Therapist | 1406 Park Shore Cir, Fort Myers, FL 33901-9680 | 2020-05-20 |
| 1861985947 | Edita Hedrick Kulichova | Marriage & Family Therapist | 10471 6 Mile Cypress Pkwy Ste 4011, Fort Myers, FL 33966-6973 | 2018-06-12 |
| 1811252935 | Katrina Nedley | Marriage & Family Therapist | 7802 Cameron Cir, Fort Myers, FL 33912-5661 | 2012-07-05 |
| 1932333838 | Mary Shorack | Marriage & Family Therapist | 42 Barkley Cir Ste 1, Fort Myers, FL 33907-4543 | 2009-05-06 |
| 1962619981 | Carl David Lee | Marriage & Family Therapist | 1678 Whiskey Creek Dr, Fort Myers, FL 33919-3443 | 2007-05-17 |
| 1477565984 | Richard W Haley | Marriage & Family Therapist | 12781 World Plaza Ln Ste 1, Fort Myers, FL 33907-3989 | 2006-08-13 |
| 1922550623 | Rachelle Osme | Marriage & Family Therapist | 3049 Cleveland Ave, Suite 269, Fort Myers, FL 33901-7041 | 2016-10-28 |
| 1497207195 | Julie A Daubenspeck | Marriage & Family Therapist | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2016-10-27 |
| 1679938351 | Colleen Frost | Marriage & Family Therapist | 3820 Colonial Blvd Ste 102, Fort Myers, FL 33966-1094 | 2015-12-22 |
| 1659765808 | Giselle Leon Jimenez | Marriage & Family Therapist | 6360 Techster Blvd, Suite 1, Fort Myers, FL 33966-4805 | 2015-03-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on CAROLINA FABIAN.
| 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.