Organization
1 RECOVERY
Active
Other names
ICU COUNSELING
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ECKHARDT LMHC (OWNER)
(888) 428-2788
Entity
Organization
Contact information
Practice address
111 DANIELS DR, FORT MYERS, FL 33908
(888) 428-2788
Mailing address
111 DANIELS DR, FORT MYERS, FL 33908
(888) 428-2788
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004208700
—
FL
Enumeration date
10/20/2020
Last updated
10/20/2020
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