Healthcare Provider Details

I. General information

NPI: 1497923239
Provider Name (Legal Business Name): NAPLES PSYCHIATRIC & COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 PARK CENTRAL CT
NAPLES FL
34109-5934
US

IV. Provider business mailing address

5445 PARK CENTRAL CT
NAPLES FL
34109-5934
US

V. Phone/Fax

Practice location:
  • Phone: 239-592-5948
  • Fax: 239-592-5874
Mailing address:
  • Phone: 239-592-5948
  • Fax: 239-592-5874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberME0069324
License Number StateFL

VIII. Authorized Official

Name: DR. JAMES A HALIKAS
Title or Position: DISPENSING PHYSICIAN
Credential: M.D.
Phone: 239-592-7535