| NPI | 1174937411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA SISSON Licensed Psychotherapist 239-464-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 2477) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL 2477) |
| 102L00000X Psychoanalyst (Licence: FL 2477) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: FL 2477) | |
| 103TE1100X Psychologist Exercise & Sports (Licence: FL 2477) | |
| 103TH0100X Psychologist Health Service (Licence: FL 2477) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: FL 2477) | |
| 106H00000X Marriage & Family Therapist (Licence: FL 2477) | |
| 133N00000X Nutritionist (Licence: FL 2477) | |
| 133NN1002X Nutritionist Nutrition, Education (Licence: FL 2477) | |
| 172V00000X Community Health Worker (Licence: FL 2477) | |
| 174H00000X Health Educator (Licence: FL 2477) | |
| 175F00000X Naturopath (Licence: FL 2477) | |
| 175L00000X Homeopath (Licence: FL 2477) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: FL 2477) | |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2014-06-15 |