Individual
BROOKE RAIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2525 HARBOR BLVD STE 208, PORT CHARLOTTE, FL 33952-5342
(941) 255-5489
(941) 255-5481
Mailing address
425 CROSS ST STE 111, PUNTA GORDA, FL 33950-4872
(941) 505-6162
(941) 505-8604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH26371
FL
Other
Enumeration date
09/05/2025
Last updated
03/11/2026
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