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Tim Green Lmhc Llc
Mental Health Counselor in Estero, Florida
NPI 1336679950

Tim Green Lmhc Llc is a Mental Health Counselor based in Fort Myers, FL and is specialized in Mental Health. Tim Green Lmhc Llc practices in Estero, FL. The NPI Number for Tim Green Lmhc Llc is 1336679950 and holds a License No. MH7986 (Florida).

The current practice location address for Tim Green Lmhc Llc is 9500 Corkscrew Palms Cir Ste 3, Estero, FL and can be reached out via phone at 239-321-0797 and via fax at 239-390-0241.

Location: 9500 Corkscrew Palms Cir Ste 3, Estero, FL, 33913-7131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336679950
Provider Name
Tim Green Lmhc Llc
Credential
Provider Entity Type
Organization
Address
9500 Corkscrew Palms Cir Ste 3, Estero, FL, 33913-7131
Phone Number
239-321-0797
Fax Number
239-390-0241
Provider Enumeration Date
06/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689780603 01 NPI
institution
Provider Business Practice Location Address Details
Address
9500 Corkscrew Palms Cir Ste 3
City
Estero
State
Florida
Zip
33928
Phone Number
239-321-0797
Fax Number
239-390-0241
person
Provider Business Mailing Address Details
Address
9500 Corkscrew Palms Cir Ste 3
City
Estero
State
Florida
Zip
33928
Phone Number
239-321-0797
Fax Number
239-390-0241
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH7986 (Florida)
Definition
Definition to come...
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