Organization
PORTNER COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY M PORNTER LCSW (MANAGING OWNER)
(954) 895-6263
Entity
Organization
Contact information
Practice address
2345 STANFORD CT, SUITE 601, NAPLES, FL 34112-4874
(239) 775-0039
(239) 775-0088
Mailing address
2345 STANFORD CT, SUITE 601, NAPLES, FL 34112-4874
(239) 775-0039
(239) 775-0088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH13774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH 13774
STATE MENTAL HEALTH LICENSE
FL
Enumeration date
06/30/2016
Last updated
08/11/2022
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