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Organization
BIRDSONG WELLNESS CENTER
Active
Organization
BIRDSONG WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KAEKEL LPC, LMHW (CLINICAL DIRECTOR)
(989) 737-0241
Entity
Organization
Contact information
Practice address
631 FLORAL LN, PORT CHARLOTTE, FL 33952-8338
(989) 737-0241
Mailing address
631 FLORAL LN, PORT CHARLOTTE, FL 33952-8338
(989) 737-0241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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