Healthcare Provider Details

I. General information

NPI: 1831023662
Provider Name (Legal Business Name): GIVE ENERGY MAKE SMILES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 SW 38TH TER
CAPE CORAL FL
33914-5856
US

IV. Provider business mailing address

402 SW 38TH TER
CAPE CORAL FL
33914-5856
US

V. Phone/Fax

Practice location:
  • Phone: 407-906-2891
  • Fax:
Mailing address:
  • Phone: 407-906-2891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KAYLA LUU
Title or Position: CLINICAL THERAPIST
Credential: LCSW
Phone: 239-738-3591