Individual
MRS. LAURA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LPC
Contact information
Practice address
13249 WINSFORD LN, FORT MYERS, FL 33966-1576
(772) 285-3180
Mailing address
13249 WINSFORD LN, FORT MYERS, FL 33966-1576
(772) 285-3180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11584
SC
101Y00000X
Counselor
Primary
MH23991
FL
101YP2500X
Professional Counselor
11584
SC
Other
Enumeration date
03/09/2026
Last updated
05/04/2026
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