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Organization

SUNSHINE STATE COUNSELING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA MILENA SALAZAR LCSW-S (OWNER)
(239) 495-7722
Entity
Organization

Contact information

Practice address
13130 WESTLINKS TER STE 8, FORT MYERS, FL 33913-8651
(239) 495-7722
(239) 443-4577
Mailing address
3575 BONITA BEACH RD STE 2, BONITA SPRINGS, FL 34134-4105
(239) 495-7722
(239) 443-4577

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
SW12686
FL
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/29/2015
Last updated
10/03/2025
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