Organization
PHOENIX BEHAVIORAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNY ORTIZ PMHNP-BC (MBR)
(239) 276-9464
Entity
Organization
Contact information
Practice address
4949 TAMIAMI TRL N STE 202, NAPLES, FL 34103-3017
(239) 259-1659
(239) 692-8264
Mailing address
4949 TAMIAMI TRL N STE 202, NAPLES, FL 34103-3017
(239) 259-1659
(239) 692-8264
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/21/2023
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