Healthcare Provider Details

I. General information

NPI: 1376404293
Provider Name (Legal Business Name): THOUGHT THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13554 SAN GEORGIO DR
ESTERO FL
33928-6465
US

IV. Provider business mailing address

13554 SAN GEORGIO DR
ESTERO FL
33928-6465
US

V. Phone/Fax

Practice location:
  • Phone: 636-515-4179
  • Fax:
Mailing address:
  • Phone: 636-515-4179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: GINA ROPPA
Title or Position: THERAPIST
Credential: LCSW
Phone: 636-515-4179