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Organization

AVID INTELLECTUAL INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CANDACE DRUMMOND LMHC, BCBA (OWNER)
(786) 505-4543
Entity
Organization

Contact information

Practice address
6280 HAMILTON DR LOT 35, FORT MYERS, FL 33905-4428
(786) 505-4543
Mailing address
6280 HAMILTON DR LOT 35, FORT MYERS, FL 33905-4428
(786) 505-4543

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103T00000X
Psychologist
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1985
YEAR
Enumeration date
12/01/2020
Last updated
02/16/2026
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