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Organization
BETHANY R. RUSSELL, PH.D., P.A.
Active
Organization
BETHANY R. RUSSELL, PH.D., P.A.
Active
Other names
BETHANY R. RUSSELL, PH.D., P.A., MPowerMe.app
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY R RUSSELL PH.D., LMHC (CLINICAL DIRECTOR)
(239) 427-1635
Entity
Organization
Contact information
Practice address
44177 KELLY DR, BABCOCK RANCH, FL 33982-5372
(239) 427-1635
Mailing address
44177 KELLY DR, BABCOCK RANCH, FL 33982-5372
(239) 427-1635
(717) 789-1914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/13/2026
Last updated
08/10/2026
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