Organization
GOLDEN PHOENIX MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID CRUZ UGUET CBHCMS (AUTHORIZED OFFICIAL)
(786) 353-2324
Entity
Organization
Contact information
Practice address
2328 HANCOCK BRIDGE PKWY STE 109, CAPE CORAL, FL 33990-1455
(786) 353-2324
(786) 957-2909
Mailing address
2328 HANCOCK BRIDGE PKWY STE 109, CAPE CORAL, FL 33990-1455
(786) 353-2324
(786) 957-2909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/26/2026
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