Healthcare Provider Details

I. General information

NPI: 1851529150
Provider Name (Legal Business Name): I-BOS COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503 DEL PRADO BLVD S STE 410
CAPE CORAL FL
33904-5709
US

IV. Provider business mailing address

2503 DEL PRADO BLVD S STE 410
CAPE CORAL FL
33904-5709
US

V. Phone/Fax

Practice location:
  • Phone: 239-443-6385
  • Fax: 239-242-6389
Mailing address:
  • Phone: 239-443-6385
  • Fax: 239-242-6389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMH 9570
License Number StateFL

VIII. Authorized Official

Name: KATHERINE A. LOWRY
Title or Position: OWNER
Credential: LMHC
Phone: 239-443-6385