A PEACEFUL MIND COUNSELING GROUP (NPI# 1295393825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295393825 |
| Entity Type | Organization |
| Organization Name | A PEACEFUL MIND COUNSELING GROUP |
| Practice Address |
12381 S Cleveland Ave Ste 205 Fort Myers FL 33907-3850 |
| Practice Telephone | 2392038807 |
| Mailing Telephone | 2392038807 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | MR. ANTHONY GARCIA (CEO) |
| Authorized Official Telephone | 2392038807 |
| Authorized Official Credential | LMHC, CAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
12381 S CLEVELAND AVE STE 205 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-3850 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174029664 | Sunshine Psychiatry, LLC | Clinic/Center | 13410 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1867 | 2018-04-03 |
| 1346503968 | Max Health Inc. | Clinic/Center | 15961 Mcgregor Blvd Ste 2, Fort Myers, FL 33908-2556 | 2012-06-19 |
| 1710395744 | Tms Center of Southwest Florida, LLC | Clinic/Center | 6804 Porto Fino Cir Ste 1, Fort Myers, FL 33912-7139 | 2014-07-22 |
| 1255768396 | Saluscare | Clinic/Center | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2013-10-03 |
| 1639438302 | Advanced Psychiatric Care, PC | Clinic/Center | 9400 Gladiolus Dr Ste 340, Fort Myers, FL 33908-9622 | 2012-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646654 | Movimentum Psychology | Clinic/Center | 1317 Edgewater Dr Unit 902, Orlando, FL 32804-6350 | 2020-10-09 |
| 1619584802 | U Matter Behavior Therapy LLC | Clinic/Center | 12360 Sw 132nd Ct Ste 108b, Miami, FL 33186-6461 | 2020-09-30 |
| 1508472648 | Illume Counseling & Play Therapy | Clinic/Center | 35008 Emerald Coast Pkwy Ste 203, Destin, FL 32541-4752 | 2020-09-22 |
| 1285240960 | Telepsych LLC | Clinic/Center | 15 Paradise Plz Ste 270, Sarasota, FL 34239-6905 | 2020-09-18 |
| 1790398030 | Olympic Behavioral Health LLC. | Clinic/Center | 3200 S Congress Ave Ste 101, Boynton Beach, FL 33426-9041 | 2020-08-26 |
| 1184237737 | Adel's Hope LLC | Clinic/Center | 160 Island Beach Blvd, Merritt Is, FL 32952-5016 | 2020-08-24 |
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1710597208 | Challenges Conquered Counseling and Consulting, LLC | Clinic/Center | 242 Commercial Blvd Ste C, Lauderdale By The Sea, FL 33308-4496 | 2020-08-09 |
| 1134738990 | Trauma and Transition Services LLC | Clinic/Center | 360 Central Ave Ste 800, St Petersburg, FL 33701-3984 | 2020-07-28 |
| 1629687520 | Frontline Recovery Center, Inc | Clinic/Center | 6503 Sw 19th St, North Lauderdale, FL 33068-4808 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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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.