Healthcare Provider Details

I. General information

NPI: 1801669304
Provider Name (Legal Business Name): SUNSET BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 08/08/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12632 TAMIAMI TRL E
NAPLES FL
34113-8451
US

IV. Provider business mailing address

11900 MCGREGOR BLVD
FORT MYERS FL
33919-2545
US

V. Phone/Fax

Practice location:
  • Phone: 239-790-8822
  • Fax: 561-257-3956
Mailing address:
  • Phone: 239-236-6876
  • Fax: 561-257-3956

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: MRS. LUISA CLEMENCIA GARCIA
Title or Position: CEO
Credential: APRN, NP-C, PMHNP-BC
Phone: 239-790-8822