MARY SHORACK (NPI# 1932333838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932333838 |
| Entity Type | Individual |
| Full Name | MARY SHORACK |
| Credential | M.A., LMFT |
| Practice Address |
42 Barkley Cir Ste 1 Fort Myers FL 33907-4543 |
| Practice Telephone | 2392755566 |
| Practice Fax Number | 2399365521 |
| Mailing Telephone | 2392755566 |
| Mailing Fax Number | 2399365521 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MT0001254 | FL | Behavioral Health & Social Service Providers |
| Street Address |
42 BARKLEY CIR STE 1 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093949992 | Roger Gunder | Marriage & Family Therapist | 42 Barkley Cir Ste 1, Fort Myers, FL 33907-4543 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| 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 |
| 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 |
| 1215330832 | Kaleesha Bent | Marriage & Family Therapist | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2014-09-28 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on MARY SHORACK.
| 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.