Healthcare Provider Details

I. General information

NPI: 1194280966
Provider Name (Legal Business Name): MONICA JOSEPH LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 TAMIAMI TRL N STE B
NAPLES FL
34103-2853
US

IV. Provider business mailing address

370 ROBIN HOOD CIR UNIT 101
NAPLES FL
34104-9524
US

V. Phone/Fax

Practice location:
  • Phone: 239-351-0675
  • Fax:
Mailing address:
  • Phone: 773-510-8459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9164
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: