Organization
SHALOM BEHAVIORAL WELLNESS CENTER LLC.
Active
Organization
SHALOM BEHAVIORAL WELLNESS CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULEYSI ALVAREZ GANDARA (OWNER/ADMINISTRATOR)
(786) 296-5701
Entity
Organization
Contact information
Practice address
1500 COLONIAL BLVD STE 102, FORT MYERS, FL 33907-1025
(786) 296-5701
Mailing address
1500 COLONIAL BLVD STE 102, FORT MYERS, FL 33907-1025
(786) 296-5701
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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