DNA COMPREHENSIVE THERAPY SERVICES, LLC (NPI# 1316363757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316363757 |
| Entity Type | Organization |
| Organization Name | DNA COMPREHENSIVE THERAPY SERVICES, LLC |
| Other Organization Name | ELITE DNA THERAPY SERVICES |
| Practice Address |
4310 Metro Pkwy Ste 205 Fort Myers FL 33916-9416 |
| Practice Telephone | 2392232751 |
| Practice Fax Number | 2395612933 |
| Mailing Telephone | 2392232751 |
| Mailing Fax Number | 2395612933 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | ELIZABETH DOSORETZ (PRESIDENT) |
| Authorized Official Telephone | 2392232751 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010784000 | 05 | |
| FL | 022832900 | 05 | |
| FL | 010785500 | 05 | |
| FL | 010785508 | 05 | |
| FL | 017439500 | 05 | |
| FL | 010785506 | 05 | |
| FL | 010785504 | 05 | |
| FL | 010785509 | 05 |
| Other Name | Type Code |
|---|---|
| Elite DNA Therapy Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 339045783 | 2396739034 | |
| 2830 Winkler Ave Ste 207, Fort Myers, FL 339169301 | 2392232751 | |
| 6430 Plantation Park Ct Ste 200, Fort Myers, FL 339664816 | 2392232751 | |
| 421 Commercial Ct Ste B, Venice, FL 342921656 | 9412444377 | 9412444376 |
| 876 W Sugarland Hwy Unit 1c, Clewiston, FL 334402704 | 2392232751 | |
| 3191 Harbor Blvd Ste A, Port Charlotte, FL 339526755 | 9418834518 | 9413915975 |
| 228 Plaza Dr, Lehigh Acres, FL 339366054 | 2394918024 | 2394916217 |
| 12989 Southern Blvd Ste 102, Loxahatchee, FL 334709205 | 5615136716 | |
| 2230 Venetian Ct Ste 1, Naples, FL 341098727 | 2392365448 | |
| 910 Oakfield Dr Ste 201a, Brandon, FL 335114925 | 8136556367 | |
| 3636 University Blvd S Ste B2, Jacksonville, FL 322164223 | 2392232751 | |
| 2625 Executive Park Dr Ste 5, Weston, FL 333313634 | 2392232751 | |
| 450 S Main St, Labelle, FL 339354629 | 2392232751 | |
| 2230 Venetian Ct, Naples, FL 341098712 | 2392365448 | |
| 9241 Park Royal Dr, Fort Myers, FL 339089204 | 2392042131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003351966 | Dna Comprehensive Therapy Services, LLC | Psychologist | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2017-01-03 |
| 1104361062 | Dna Comprehensive Therapy Services, LLC | Skilled Nursing Facility | 1333 Santa Barbara Blvd, Cape Coral, FL 33991-2803 | 2017-01-03 |
| 1184166100 | Dna Comprehensive Therapy Services, LLC | Nurse Practitioner | 6360 Techster Blvd, Suite 1, Fort Myers, FL 33966-4805 | 2016-11-08 |
| 1285176206 | Dna Comprehensive Therapy Services, LLC | Psychiatry & Neurology | 6360 Techster Blvd, Suite 1, Fort Myers, FL 33966-4805 | 2016-11-08 |
| 1063964484 | Dna Comprehensive Therapy Services, LLC | Psychologist | 6360 Techster Blvd, Suite 1, Fort Myers, FL 33966-4805 | 2016-11-02 |
| 1508231416 | Dna Comprehensive Therapy Services, LLC | Counselor | 2721 Del Prado Blvd S, Suite 200, Cape Coral, FL 33904-5781 | 2015-12-03 |
| 1225400294 | Dna Comprehensive Therapy Services, LLC | Behavioral Analyst | 3191 Harbor Blvd, Suite A, Port Charlotte, FL 33952-6755 | 2015-10-29 |
| 1740650522 | Dna Comprehensive Therapy Services, LLC | Counselor | 2230 Venetian Ct, Suite 1, Naples, FL 34109-8712 | 2015-10-06 |
| Street Address |
4310 METRO PKWY STE 205 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675561 | Vinod Kumar Bhatnagar | Psychiatry & Neurology | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2005-11-02 |
| 1619575818 | Dylan Andrew Demars | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-10-12 |
| 1225635071 | Danielle Terese Binder | Counselor | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-10-05 |
| 1275159485 | Shayna Leeann Aguilar | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-06-23 |
| 1972139160 | Amanda Michelle Boroff | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-03-19 |
| 1346874955 | Sonica Sharma | Social Worker | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-02-24 |
| 1225678477 | Paula Anita Subadan | Social Worker | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-01-15 |
| 1932749884 | Hannah Marie Thielman | Counselor | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-01-08 |
| 1720627094 | Elissa Rose Pasanello | Social Worker | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-01-03 |
| 1487299269 | Jeffery M Hutter | Counselor | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286237 | Serenity Counseling Center, LLC | Clinic/Center | 3900 Broadway Unit B1, Fort Myers, FL 33901-8193 | 2017-10-23 |
| 1073147260 | Venecia Medical Center LLC | Clinic/Center | 6300 Corporate Ct, Fort Myers, FL 33919-3513 | 2020-02-26 |
| 1427435494 | Florida Art Therapy Services, LLC | Clinic/Center | 5272 Summerlin Commons Way Ste 602, Fort Myers, FL 33907-2156 | 2015-04-29 |
| 1861811655 | Florida Detox and Recovery Center, LLC | Clinic/Center | 6804 Porto Fino Cir, Suite 1, Fort Myers, FL 33912-7139 | 2014-04-09 |
| 1659545978 | Jbh Behavioral Health Systems LLC | Clinic/Center | 12550 New Brittany Blvd, Suite 200, Fort Myers, FL 33907-3655 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
Please comment or provide details below to improve the information on DNA COMPREHENSIVE THERAPY SERVICES, 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.