Healthcare Provider Details

I. General information

NPI: 1982559746
Provider Name (Legal Business Name): NEXUS OF HEALTHY LIVING THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 DEL PRADO BLVD N STE A
CAPE CORAL FL
33909-6303
US

IV. Provider business mailing address

19 DEL PRADO BLVD N STE A
CAPE CORAL FL
33909-6303
US

V. Phone/Fax

Practice location:
  • Phone: 941-257-3417
  • Fax:
Mailing address:
  • Phone: 941-257-3417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA LANDRY
Title or Position: AMBR
Credential:
Phone: 732-277-7415