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NPI Code Detail

MEDICARE: JODIE MARIE SHRODE LMHC

MEDICARE: JODIE MARIE SHRODE LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH26533FL

General Provider Information

NPI Number : 1518821826
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODIE MARIE SHRODE LMHC
Provider Business Mailing Address
First Line : 8570 GRANITE CT STE 101
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4240
Country : US
Telephone Number : 833-769-3524
Fax Number : 239-256-7516
Provider Business Practice Location Address
First Line : 8570 GRANITE CT STE 101
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4240
Country : US
Telephone Number : 833-769-3524
Fax Number : 239-256-7516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 01/23/2026

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