HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS, LLC (NPI# 1073871208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073871208 |
| Entity Type | Organization |
| Organization Name | HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS, LLC |
| Practice Address |
3049 Cleveland Ave Ste 290 Fort Myers FL 33901-7054 |
| Mailing Address |
1001 E Baker St Ste 100 Plant City FL 33563-3700 |
| Practice Telephone | 8137545555 |
| Practice Fax Number | 8137545552 |
| Mailing Telephone | 8137545555 |
| Mailing Fax Number | 8137545552 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | EDWARD A. WALLER JR. (CEO) |
| Authorized Official Telephone | 8137545555 |
| Authorized Official Credential | M.ED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457917312 | Healing Educational Alternatives for Deserving Students, LLC | Community/Behavioral Health | 901 Industrial Dr Ste 200, Wildwood, FL 34785-4707 | 2019-05-16 |
| 1053658153 | Healing Educational Alternatives for Deserving Students, LLC | Community/Behavioral Health | 5749 Westgate Dr Ste 200, Orlando, FL 32853 | 2013-01-09 |
| Street Address |
3049 CLEVELAND AVE STE 290 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-7054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794910 | Samantha Lower Dettmar | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2020-06-11 |
| 1609400225 | Jessica Forero | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2020-02-24 |
| 1215569439 | Nancy Acevedo | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2020-02-05 |
| 1295365682 | Danesha Simmons | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2020-01-24 |
| 1639732019 | Lindsay Scoffil | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2019-04-21 |
| 1104380989 | Jean Claude Sime | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2019-01-25 |
| 1265905616 | Megan H Venuto | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2019-01-08 |
| 1194203174 | Nadine Simpson-arscott | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2018-08-01 |
| 1407344849 | Angela Marie Noe | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| 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 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 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 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS, LLC.
| 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.