Healthcare Provider Details

I. General information

NPI: 1346165271
Provider Name (Legal Business Name): CATHOLIC CHARITIES DIOCESE OF VENICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 SANTA BARBARA BLVD
NAPLES FL
34116
US

IV. Provider business mailing address

1000 PINEBROOK ROAD
VENICE FL
34285
US

V. Phone/Fax

Practice location:
  • Phone: 239-455-2655
  • Fax:
Mailing address:
  • Phone: 941-488-5581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRIS M. ROOT
Title or Position: CEO
Credential:
Phone: 941-486-4700