Organization
BESPOKE PSYCHOTHERAPY SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD A. BATTLES LMHC (OWNER)
(239) 310-2110
Entity
Organization
Contact information
Practice address
17595 S TAMIAMI TRL STE 210, FORT MYERS, FL 33908-4889
(239) 310-2110
(239) 310-2111
Mailing address
TODD A. BATTLES, LMHC, 17595 SOUTH TAMIAMI TRAIL, SUITE 210, FORT MYERS, FL 33908-4884
(239) 310-2110
(239) 310-2111
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/10/2021
Last updated
12/09/2022
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