Organization
BEHAVIORAL HEALTH SERVICES LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY A FRATRICK LCSW (MANAGER)
(239) 810-3998
Entity
Organization
Contact information
Practice address
1415 PANTHER LN, UNIT 142, NAPLES, FL 34109-7874
(239) 810-3998
(239) 236-1215
Mailing address
16520 S TAMIAMI TRL, UNIT 138 PMB 187, FORT MYERS, FL 33908-4569
(239) 810-3998
(239) 236-1215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5602
FL
Other
Enumeration date
10/07/2008
Last updated
08/01/2011
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