# THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
- **Other names:** Shell Point
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821160607
- **Legal business name:** THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
- **Authorized official:** TASHA MARIE VASSAR (MEDICAL BILLING MANAGER)
- **Authorized official phone:** (239) 433-7937

## Contact information

- **Practice address:** 13880 SHELL POINT PLAZA, SUITE 110, FORT MYERS, FL 33908
- **Practice address phone:** (239) 466-1111
- **Practice address fax:** (239) 454-2111
- **Mailing address:** 13880 SHELL POINT PLAZA, SUITE 110, FORT MYERS, FL 33908-3504
- **Mailing address phone:** (239) 454-2146
- **Mailing address fax:** (239) 454-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 02/14/2022