Healthcare Provider Details

I. General information

NPI: 1497527006
Provider Name (Legal Business Name): LISET CHAURERO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 WINDSOR LANDING DR UNIT 307
FORT MYERS FL
33966-8054
US

IV. Provider business mailing address

4850 WINDSOR LANDING DR APT 307
FORT MYERS FL
33966-8051
US

V. Phone/Fax

Practice location:
  • Phone: 305-216-5362
  • Fax:
Mailing address:
  • Phone: 305-216-5362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLMHC25942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: