Organization
SALUSCARE, INC.
Active
Other names
Lee Mental Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY COOK LCSW (PRESIDENT/CEO)
(239) 275-3222
Entity
Organization
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 308-1289
(239) 332-0287
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 275-3222
(239) 332-0287
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
FL
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
—
—
284300000X
Special Hospital
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008622200
—
FL
05
—
008622201
—
FL
05
—
008622202
—
FL
05
—
008622203
—
FL
05
—
008622205
—
FL
05
—
060269800
—
FL
05
—
060269802
—
FL
05
—
060269804
—
FL
05
—
060269833
—
FL
05
—
060269838
—
FL
05
—
103250800
—
FL
Enumeration date
05/20/2006
Last updated
10/19/2023
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