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Organization

A PEACEFUL MIND COUNSELING GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY GARCIA LMHC, CAP (CEO)
(239) 203-8807
Entity
Organization

Contact information

Practice address
12381 S CLEVELAND AVE STE 205, FORT MYERS, FL 33907-3850
(239) 203-8807
Mailing address
12381 S CLEVELAND AVE STE 205, FORT MYERS, FL 33907-3850
(239) 203-8807

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
05/29/2019
Last updated
05/29/2019
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