Organization
ISLAND COAST BEHAVIORAL HEALTH AND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIOTR SOBOLEWSKI DNP (MANAGER)
(216) 214-2777
Entity
Organization
Contact information
Practice address
12381 S CLEVELAND AVE STE 506, FORT MYERS, FL 33907-3854
(216) 214-2777
Mailing address
12381 S CLEVELAND AVE STE 506, FORT MYERS, FL 33907-3854
(216) 214-2777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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