Organization
NEXTEP COUNSELING AND CLINICAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI KORNMILLER (SENIOR CREDENTIALING SPECIALIST)
(561) 672-8345
Entity
Organization
Contact information
Practice address
6314 CORPORATE CT STE 110, FORT MYERS, FL 33919-3516
(561) 672-8345
Mailing address
6314 CORPORATE CT STE 110, FORT MYERS, FL 33919-3516
(561) 672-8345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2036AD6563-01
FL
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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