Organization
A PEACEFUL MIND BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE RENZULLI PHD (BUSINESS MANAGER/POINT OF CONTACT)
(239) 533-9604
Entity
Organization
Contact information
Practice address
12381 S CLEVELAND AVE STE 403, FORT MYERS, FL 33907-3853
(239) 266-2620
Mailing address
12381 S CLEVELAND AVE STE 403, FORT MYERS, FL 33907-3853
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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