Healthcare Provider Details

I. General information

NPI: 1164980454
Provider Name (Legal Business Name): SIGMA CENTRUM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2019
Last Update Date: 05/26/2022
Certification Date: 05/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1185 IMMOKALEE RD STE 220
NAPLES FL
34110-4807
US

IV. Provider business mailing address

1185 IMMOKALEE RD STE 220
NAPLES FL
34110-4807
US

V. Phone/Fax

Practice location:
  • Phone: 239-351-1475
  • Fax:
Mailing address:
  • Phone: 239-351-1475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. LOGAN M BELL
Title or Position: MENTAL HEALTH COUNSELOR
Credential: MS, LMHC
Phone: 239-351-1475