Healthcare Provider Details
I. General information
NPI: 1184806838
Provider Name (Legal Business Name): EMOTIONALINBOX.COM
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2007
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
975 IMPERIAL GOLF COURSE BLVD
NAPLES FL
34110-8158
US
IV. Provider business mailing address
3950 ESTERO BAY LN
NAPLES FL
34112-6112
US
V. Phone/Fax
- Phone: 239-409-0008
- Fax:
- Phone: 239-409-0008
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PY7046 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
MARK
BENJAMIN
MEYERS
Title or Position: OWNER
Credential: PSYD
Phone: 230-409-0008