Organization
A CAUSE FOR SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BAND MA, LMFT, CSAT (CEO)
(407) 506-7097
Entity
Organization
Contact information
Practice address
9180 ESTERO PARK COMMONS BLVD, SUITE #6, ESTERO, FL 33928-3218
(407) 506-7097
Mailing address
3130 SEASONS WAY UNIT 407, ESTERO, FL 33928-2304
(407) 506-7097
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6
PSYCHOTHERAPY
FL
Enumeration date
10/02/2015
Last updated
10/02/2015
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