Organization
THE GOLDEN AGE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSSANA CEPERO (OWNER)
(239) 203-1248
Entity
Organization
Contact information
Practice address
1490 NE PINE ISLAND RD BLDG 6, CAPE CORAL, FL 33909-2135
(239) 203-1248
(239) 510-2292
Mailing address
1490 NE PINE ISLAND RD BLDG 6, CAPE CORAL, FL 33909-2135
(239) 203-1248
(239) 510-2292
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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