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Organization
GOLDEN PHOENIX MENTAL HEALTH LLC
Active
Organization
GOLDEN PHOENIX MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID CRUZ UGUET CBHCMS (AUTHORIZED OFFICIAL)
(786) 353-2324
Entity
Organization
Contact information
Practice address
2328 HANCOCK BRIDGE PKWY STE 109, CAPE CORAL, FL 33990-1455
(786) 353-2324
(786) 957-2909
Mailing address
2328 HANCOCK BRIDGE PKWY STE 109, CAPE CORAL, FL 33990-1455
(786) 353-2324
(786) 957-2909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
06/19/2026
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