Healthcare Provider Details

I. General information

NPI: 1003724022
Provider Name (Legal Business Name): HEALING LOUDLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8191 COLLEGE PKWY STE 207
FORT MYERS FL
33919-5110
US

IV. Provider business mailing address

8191 COLLEGE PKWY STE 207
FORT MYERS FL
33919-5110
US

V. Phone/Fax

Practice location:
  • Phone: 239-688-5478
  • Fax:
Mailing address:
  • Phone:
  • 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
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SARRA LASHHAB
Title or Position: OWNER
Credential: LCSW
Phone: 239-220-8699