Mandala Counseling Services Llc
LBN: Mandala Counseling Services Llc
Mandala Counseling Services Llc is an health care organization with primary practice located at 6361 Presidential Ct Ste 101 , Fort Myers FL 33919-3583. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Mandala Counseling Services Llc can be contacted via phone (239) 360-1976, or through Jaworski, Brianna Kelly via phone (941) 962-9661.
Contact Information
Primary practice address
6361 Presidential Ct Ste 101
Fort Myers FL 33919-3583
Phone: (239) 360-1976
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1871134627 |
|---|---|
| LBN Legal business name | Mandala Counseling Services Llc |
| DBA Doing business as | |
| Authorized official | Jaworski, Brianna Kelly LMHC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2019 |
| Last updated | Oct 28th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871134627 | NPPES |
| Other | 1932687167 | LICENSED MENTAL HEALTH COUNSELOR |
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