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Phyllis Walters, Ph.d.
Adolescent and Children Mental Health Clinic/Center in Bonita Springs, Florida
NPI 1679161491

Phyllis Walters, Ph.d. is an Adolescent and Children Mental Health Clinic/Center based in Fort Myers, FL and is specialized in Adolescent and Children Mental Health. Phyllis Walters, Ph.d. practices in Bonita Springs, FL. The NPI Number for Phyllis Walters, Ph.d. is 1679161491 and holds a License No. (Florida).

The current practice location address for Phyllis Walters, Ph.d. is 9220 Bonita Beach Rd Se Ste 222, Bonita Springs, FL and can be reached out via phone at 239-404-9396.

Location: 9220 Bonita Beach Rd Se Ste 222, Bonita Springs, FL, 33967-5440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679161491
Provider Name
Phyllis Walters, Ph.d.
Credential
Provider Entity Type
Organization
Address
9220 Bonita Beach Rd Se Ste 222, Bonita Springs, FL, 33967-5440
Phone Number
239-404-9396
Fax Number
Provider Enumeration Date
01/07/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9220 Bonita Beach Rd Se Ste 222
City
Bonita Springs
State
Florida
Zip
34135-4235
Phone Number
239-404-9396
Fax Number
person
Provider Business Mailing Address Details
Address
9220 Bonita Beach Rd Se Ste 222
City
Bonita Springs
State
Florida
Zip
34135-4235
Phone Number
239-404-9396
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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