Organization
BRIANNE TOOLE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIANNE KENNEY TOOLE L.C.S.W. (PSYCHOTHERAPIST)
(239) 595-0400
Entity
Organization
Contact information
Practice address
1415 PANTHER LN, NAPLES, FL 34109-7874
(239) 591-6602
Mailing address
1415 PANTHER LANE, SUITE 303, NAPLES, FL 34112-4969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B0465Z
MEDICARE GROUP NUMBER
FL
01
—
U8805Y
MEDICARE INDIVIDUAL NUMBER
FL
Enumeration date
10/26/2008
Last updated
08/31/2009
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