Healthcare Provider Details

I. General information

NPI: 1972424406
Provider Name (Legal Business Name): CYNTHIA FISHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10491 6 MILE CYPRESS PKWY STE 241
FORT MYERS FL
33966-6406
US

IV. Provider business mailing address

14931 PARK LAKE DR APT 301
FORT MYERS FL
33919-2169
US

V. Phone/Fax

Practice location:
  • Phone: 239-277-1506
  • Fax:
Mailing address:
  • Phone: 941-499-7705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25563
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: